TPOM Membership Registration Form

TPOM Membership Join/Renew

Please complete and submit this membership form from below. When you have completed the form, pay via the link below.

1 Year Membership ($35) - Annual membership gives you access to all of our member-only events and our private Facebook groups. This option is also available to use as the annual membership renewal.

3 Year Membership ($90) - Enjoy all the benefits of TPOM for a full 3 years and receive a price break!

Multiple Multiples or Higher Order Multiples (FREE) - If you are expecting triplets, quads, or even your second (or third, forth, etc) set of twins then you get a year of membership on us!

Associate ($25) - This reduced price membership is an option for current members who have had an active membership for over 5 continuous years. Please check with the Membership ChairMom to see if you are eligible (membership@tacomamultiples.org).

Chairmom ($15) - This option is for active chair positions for TPOM. Thank you for your hard work for helping with our club.
Is this a new membership or a renewal?*

New membershipRenewal, my contact/family info has changed
Your name*

Last NameFirst Name
Spouse/partner name
First Name (Last Name only if it's different)
Address*

Street Address

Street Address Line 2 (Apt #)

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
Your pregnancy/multiples*

TwinsTwinblingsTripletsQuadsOther
Baby A*

GirlBoyUnknown
Baby B*

GirlBoyUnknown
Baby C

GirlBoyUnknown
Baby D

GirlBoyUnknown
Type of twins, triplets, or more

FraternalIdentical
Names of multiples*
Multiples birth date/due date:*
(xx/xx/xxxx)
Additional children (name/s & birthdate/s)
Special needs or allergies (for events)
What is your Facebook/payment name? (if different than above)
Anything else you would like us to know?
Where did you hear about us?*

A friend/familyOnline searchFacebook public pageTPOM memberTPOM websiteHospital staffOther
Happy Mail (Snail mail with a fun card; sticker, button, ornament and/or a trinket)*

YesNoI'm not sure please tell me more
Membership options
prevnext( X )
1 Year Membership ($35)Annual membership gives you access to all of our member-only events and our private Facebook groups. This option is also available to use as the annual membership renewal.
$35.00



3 Year Membership ($90) Enjoy all the benefits of TPOM for a full 3 years and receive a price break!
$90.00



Higher Order Multiples (FREE)If you are expecting your second (or third, forth, etc) set of twins or more then you get a year of membership on us!
$ Free



Multiple MultiplesIf you are expecting triplets, quads, or more you get a year of membership on us!
$ Free Quantity



Associate ($25)This reduced price membership is an option for current members who have had an active membership for over 5 continuous years.
$25.00



Chairmom ($15)This option is for active chair positions for TPOM. Thank you for your hard work for helping with our club.
$15.00



Total

$0.00
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