Prospective Member Inquiry Form
Name
 Birthdate (ex. 01/01/1965)
Spouse's Name
 Birthdate (ex. 01/01/1965)
Anniversary Date
  
Street Address, City, State, Zip   
 
Subdivision
  
Home Phone
 Work Phone
Cell Phone  
 Email Address
Would you like to be part of the WMOM E-group?     
Children's Names  
 Birthdate (ex. 01/01/2001)
   
   
   
   
   
Due Date
 Type of birth
Type of multiples
  
Do you wish to have your information printed in the WMOM Member Directory?  
Join our Group
All parents or guardians expecting or raising multiple birth children in the Woodlands/Montgomery
County area are welcome to join WMOM!  

You can join our group by printing out and submitting the membership form below and mailing it along
with your $30 check payable to WMOM, P.O. Box 8882, The Woodlands, TX 77387-8882.
         




For more information please send email to :   Bobbi Jo. - Vice President Membership
The Woodlands  Mothers of Multiples
 
 
WMOM 08-09
Membership Form