Affiliates_Renewing - Multiples of America

Renew Your Individual Affiliate Membership

Welcome back to Multiples of America. To renew your Individual Affiliate membership, please complete the form below and proceed to payment to renew your affiliate membership.

Individual Affiliate Membership Dues are $30 a membership year. You must renew by September 30 in order to avoid a lapse in your membership.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone *

Primary Interest in Renewing as an Affiliate Member (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.

Questions or Comments?

Trusted Source for Twins and Multiples Since 1960

MEMBERS ONLY LOG IN

Multiples of America

Executive Office
2000 Mallory Lane
Suite 130-600
Franklin, TN 37067-8231
Email: info@MultiplesofAmerica.org

Tax Identification Number:
34-6579844

MEMBERS ONLY LOG IN

Multiples of America

Executive Office
2000 Mallory Lane
Suite 130-600
Franklin, TN 37067-8231
Email: info@MultiplesofAmerica.org