TWIN CITY MOTHERS OF MULTIPLES
2015-2016 Membership Form

Dues: $20.00 per year (Includes dues for State and National). Make checks payable to TCMOM’S

You may mail your check and membership form to: Heather Vestal 187 Grade Street Rural Hall, NC 27045

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After August 1st - include $5.00 late fee (only for renewing members, doesn’t apply to First Time Memberships)

NAME: / HUSBAND'S NAME:
ADDRESS:
CITY: / ZIP:
HOME PHONE: / CELL PHONE:
EMAIL: / YOUR BIRTHDAY:
LIST ALL OF YOUR CHILDREN'S NAMES: / BIRTHDAY:
ABOUT YOUR MULTIPLES (please check all the appropriate boxes):
NUMBER OF WEEKS GESTATION: / FRATERNAL / IDENTICAL
BOY / GIRL / BOY/GIRL
ARE YOU OR YOUR HUSBAND A TWIN? / YES / NO
HOW DID YOU HEAR ABOUT TCMOM’S?
WOULD YOU BE WILLING TO SERVE ON ANY COMMITTEES? Check all that apply (if you would be willing to serve as a chairperson please add a "C")
PARTIES/EVENTS / WEBSITE / HISTORIAN / CLOTHING SALE
SUNSHINE / WAYS & MEANS / LIBRARIAN / MEMBERSHIP
Are you interested in being active with the club or sale only?
PLEASE GIVE US IDEAS OF WHAT YOU WOULD LIKE TO SEE TCMOM’S DO THIS YEAR. SPEAKERS, PARTIES, CHARITIES, ETC…..
Revised:6/15