2010 PixiFoto Coverstar

Your Details

Register for Coverstar 2010

Fill out the form below to be in the running for Coverstar 2010.

* means Mandatory field and Must be filled in

• Baby's Name: *
• Parent/Guardian's name: *
• Child's DOB (dd/mm/yyyy) *
• Parent/Guardian's email: *
• Contact phone number: *
• Suburb: *
• State * Select... ACT NSW VIC NT QLD SA TAS WA
• Password: *
• Confirm Password: *
• Tell us about your baby: *
• Baby's favourite toy: *
• Baby's favourite food: *
• Yes, I have read & accept the Terms & Conditions
• Yes, sign me up to the Mother & Baby e-newsletter so I can keep up to date with the competition
• As of September 8 2010, my child will be eligible for (select one only):
  
• the baby section (6 - 15 months)
• the toddler section (16 - 36 months)
• To be eligible to enter the competition, you must be subscribed to Mother & Baby OR you have purchased a special photo CD from PixiFoto during the promotional period and have a valid identification code printed on your PixiFoto receipt. We'll be contacting the parents of the potential shortlisted babies to verify that they are subscribers or have a receipt of purchase before their child is entered into the finals.
• I have bought a copy of Mother & Baby and have proof of purchase
• I am a Mother & Baby subscriber
• I am a PixiFoto Customer (enter customer code below)
• Code: *