Healthy Arkansas | Baby Book

Fill out the order form below and press submit and we will send you your free Happy Birthday Baby Book today! Please allow 4-6 weeks for delivery. Books are currently only available to Arkansas residents.

Please complete the form below.

First Name:

Last Name:

Mailing Address:

Example: P.O. Box, Street Address, Apt number.

City:

State:

Zip:

County:

Phone:

(Daytime)

(Evening)

Your Date of Birth:

MM/DD/YYYY

Due Date:

MM/DD/YYYY

Race:

(optional)

How did you hear about the book? (Check One)
	Television
	Radio
	Website
	Friends
	Baptist Health
	Other (specify)