2011 Baby Guide Birthing Centers  : Birth Centers
Please complete the following form for inclusion on our website, as well as in our printed 2011 Baby Guide. Deadline for inclusion is October 1, 2010. Baby Guide listings are FREE. If you have any questions, please e-mail Janice Lewine at jlewine@carolinaparent.com. To mail or fax your entry: fill out the fields in the online form below, click on the Preview button at the bottom of the forms, then click on the Print button to print the page. Mail your printed form to: Carolina Parent Attn: Janice Lewine Fayetteville Rd., Ste. 201 Durham, NC 27713 Phone: 919-956-2430 Fax: 919-956-2427 Please note: Information may be edited for style, length and clarity. *Required Information      Contact Information
Facility Name: *
Address: *
Address:
City: *
State: *
Zip: *
Phone: *
Website:
Number of births per year: *
Tour Information:	Please limit your description to 50 words or less.
Childbirth/Class Information:	Please limit your description to 50 words or less.
Room Amenities:	Please limit your description to 50 words or less.
Types of Neonatal Care:	Special Care Nursery NICU Level III NICU Level IV NICU
Other comments:	Please limit your description to 50 words or less.
The following information will not be published, but is required should we have questions or need clarification.
Contact's First Name: *
Contact's Last Name: *
Title:
E-mail: *
Advertising Information (Optional) For more information on advertising your birthing center with Carolina Parent, contact advertising@carolinaparent.com.