Similac® StrongMoms® - Get Baby Coupons & Free Formula Samples

Fill out the required information (*) in the form below.

About You

Similac^® Strongmoms^® will use this information to customize your support. Knowing your baby’s birthday will help us, since your baby’s needs change based on their age.

Email Address*

Email Address is required.Email Address must contain a valid email address, e.g. 'name@server.com'.

First Name*

First Name is required.First Name must contain only letters, spaces, apostrophes, hyphens, and periods.

Last Name*

Last Name is required.Last Name must contain only letters, spaces, apostrophes, hyphens, and periods.

Password*

Password is required. Password must contain at least 4 characters. Password can not contain spaces.

Mailing Address*

Street Address is required.Street Address must contain only letters, numbers, spaces, comma, number signs, hyphens, and periods.Minimum number of characters not met.

Add an apartment, unit, floor, etc

apartment, unit, floor, etc

apartment,unit,floor,etc must contain only letters, numbers, spaces, comma, number signs, hyphens, and periods.

Your Birthdate* Month is required. Day is required. Year is required. Invalid day format. Invalid month format.

Your Baby’s Birthdate or Due Date* Month is required. Day is required. Year is required. Invalid day format. Invalid month format.

My baby was born:* Earlier than 37 weeks 37 weeks or later Please make a selection.

My baby was born prematurely at* Please select an item.

More About You

The more we know, the easier it is to tailor support and savings specifically for you.

My child is adopted (optional) Yes No

Hospital of baby's birth (optional)

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By checking this box, I would like my information to be shared with Pampers, and I understand it will be used according to Pampers’ privacy policy

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I understand and agree that the information I’ve provided will be used according to the terms of Abbott’s Privacy Policy. Limit one enrollment per household. Offers and values may vary. Terms and conditions apply.

Providing your personal information through this form will be treated the same as if you provided a physical signature.

† Offers may vary.

‡ Offer is good for one free 20-standard-page 8x8 hard cover photo book and one Storytelling™ style through shutterfly.com, our mobile-friendly site or the Shutterfly Photo Story for iPad app. Promo can only be redeemed once per account and/or billing address. This offer code can only be entered once. Taxes, shipping and handling will apply. Customer may add options to their 8x8 book (additional pages, photo book accessories, other cover types, etc.) at additional cost. Or apply the current price of a 20-standard-page 8x8 hard cover photo book (after taking into account any current discounts on shutterfly.com) toward the purchase of a larger photo book. Not valid on 7x9 or 8x8 soft cover photo books, TripPix, FavePix, prepaid plans, other products, prior purchases and orders made on other Shutterfly mobile apps. Cannot be redeemed for cash or combined with select offers or credits. Not valid for resale. We reserve the right to modify or replace any part of these terms and conditions without notice.

Shutterfly is not a registered trademark of Abbott Laboratories. Offer is provided by, and the responsibility of, Shutterfly. Abbott Laboratories and its affiliates and divisions are not responsible for the offer.