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Please choose one:
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About The Mother
First Name
Last Name
Address
City
Zip Code
Home Phone
Cell Phone
Email
Birthday
Occupation
Please select:
About Your Spouse/Partner
First Name
Last Name
Birthday
Occupation
Anniversary
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SSPOM newsletters & announcements are
sent electronically by email. Please check if you must receive a mailed
copy of the newsletter.
Check this box if you give SSPOM permission
to publish your information in our newsletter
& member directory. (This information is only
distributed to members & those directly
affiliated with SPOM.)
I am expecting!
due date
multiple type
I already have:
birthdate
multiple type
length of gestation
weeks
days
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List multiples & siblings
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Child #1
Birthdate
Child #2
Birthdate
Child #3
Birthdate
Child #4
Birthdate
Child #5
Birthdate
Child #6
Birthdate
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Talents, Hobbies, & Interests
Do you have a talent you can share within SSPOM? Do
you enjoy photography, writing, editing, or do you have
great computer skills? Do you enjoy reading, or
organizing & putting on parties & events? Do you have
experience in fundraising & accounting? Please list 3
talents you can share with the club:
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Please click on the Join SSPOM button below to submit your membership application. Please note
that your membership isn't complete until we receive your annual dues. Your dues may be paid at a
club meeting, or you may mail them to:
SSPOM, Attn: Membership, PO Box 186, Greenwood IN 46142-0186
Once your dues have been received, an invitation to join the SSPOM-Indy Yahoo!Group will be emailed
to you!
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