Affiliates_New - Multiples of America

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Join Multiples of America as an Individual Affiliate

To join Multiples of America as *NEW* Affiliate, please complete the form below and proceed to the payment option for dues.

New Affiliate Membership is $30 a year, plus a one-time $10 application fee.

If you need to *RENEW* a current affiliate membership, please click here.

This membership is for: *

Myself
A Gift for Family or Friend

Name Interest membership

Affiliate Member Name *

First

Last

Referred by

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone *

Primary Interest in Joining as an Affiliate (check all that apply) *

I am a multiple.
I have multiples, but there is no club in my area.
I have multiples, but am no longer affiliated with a club.
A family member has multiples.
I am a caregiver of multiples.
I provide professional services to multiples.
I am an educator of multiples.
General interest in multiples and multiple birth families.

Connect with us!

Trusted Source for Twins and Multiples Since 1960

Executive Office Address:
2000 Mallory Lane, Suite 290, #1312
Franklin, TN 37067-8231
Email: info@MultiplesofAmerica.org

Tax Identification Number:
34-6579844

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