Pre-registration for One Minute Simultaneous Breastfeeding on 9th Oct (Sunday) at 4pm

To join us in the “1 Minute Simultaneous Breastfeeding”:

1. <b>Pre-register</b> by filling in the form below.
2. Breastfeed your child/ren on <b>9th Oct at 4pm for 1 minute</b>.
3. (Only for mothers who join us virtually) After breastfeeding for 1 minute, <b>SMS us immediately</b> <u>"the name of mother, the name of your child/ren, email address"</u> to the number below:

<font color="orange"><b>If you’re from Kedah, Penang, Perak or Perlis, SMS ONLY to 012-4588 582.</b></font>
<font color="red"><b>If you’re from KL, Selangor or Negeri Sembilan, SMS ONLY to 017-5533 208.</b></font>
<font color="blue"><b>If you’re from Melaka, Johor, Pahang, Terengganu, Kelantan, Sabah or Sarawak, SMS ONLY to 012-476 0089.</b></font>

(SMS example: Connie Mooi, Teoh Zao Yang, pgmmps@gmail.com)

NOTES:

1. SMS to <font color="red"><b>ONLY ONE</b></font> number (according to your state) to avoid duplication and ease the counting process.
2. <font color="red"><b>Save</b></font> the SMS number now into your phone. Just one number, according to your state. =)
3. For mothers who join us virtually, <font color="red"><b>to qualify for the e-cert</b></font> , you must SMS us on 9th Oct after breastfeeding for 1 minute, before 4:30pm.

For any inquiries, please email us at pgmmps@gmail.com or go to MMPS website at http://pgmmps.wordpress.com/.

<b>NOTE</b>: Names cannot be changed later, so please enter the correct names.

We respect your privacy and do not tolerate spam and will never sell, rent, lease or give away your information (name, address, email, etc.) to any third party. Nor will we send you unsolicited email.

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question