Join Wellington Multiples
Please complete the following details in order for us process your request to join the club or renew your membership.
Name *
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Surname *
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Address *
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Your mobile number *
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Email *
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Gender *
Joining Members Date of Birth *
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Ethnicity of Parents? *
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Type of Multiples *
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Have you already given birth? *
Required
40 Week Due Date of Babies if not born yet or Gestation & Date they arrived? *
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Do you have other older children and what are their ages? *
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New Membership or Renewing? *
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How will you be paying your membership fee? *
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Your Partners Name *
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Your Partners Surname *
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Partners Email Address *
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Partners Contact Number *
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Facebook name that will be used to join the Wellington Multiples Page if different from your name above?
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