Note: This mailing address is solely for the shipment of
Plum
.
Name of Healthcare Provider:
Office Contact Name/Title:
Practice/Affiliation Name:
Street Address (No PO Box):
City:
State:
Zip:
Phone:
Fax:
Email Address:
Your help in answering the following questions is greatly appreciated. Thank you!
Do your patients 35 years and older express concern over the effects of age on pregnancy?
-
Yes
-
-
No
Do your patients age 35 years and older require more encouragement to relax and enjoy pregnancy than their younger counterparts?
-
Yes
-
-
No
Number of copies needed every year for your practice:
-
30
--
-
60
--
-
90
--
-
120
--
-
150
-
Fewer than 30 order quantity
-
More than 150 order quantity
Number of physicians in your office:
SUBMIT
For more information, call (212) 725-9201.
Plum
is published by Groundbreak Publishing, Inc.
276 5th Ave. Suite 302 New York NY, 10001
ABOUT US
:
PRESS CENTER
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Copyright © 2006 Groundbreak Publishing, Inc. All rights reserved.
Plum
is a registered trademark.
