Contact us.info@reginaalexander.com(813) 413-1818 Name * First Name Last Name Email * Phone * (###) ### #### Estimated Due Date * MM DD YYYY What type of session are you interested in? * Select Birth Photography Fresh 48 - Hospital Fresh 48 - Birthing Center/Home Where will you be delivering? * Please list the name of the hospital or birthing center if applicable. Provider's Name * Will you be working with a doula? If delivering at home, please provide your address Address 1 Address 2 City State/Province Zip/Postal Code Country Any additional details or information that you would like to share? Thank you!