Cobb Parents of Multiples Club

Home Learn About Us Upcoming Events Get Involved! Consignment Sales Board of Directors Twin Links

CPOMC

Membership

 

Annual dues are $25 per club year which runs July 1 - June 30.
Fill in this form and click on the 'Submit' button below to send your application by EMail,
or print it and send it with your check, to:
PO Box 669864, Marietta, GA 30066.

 

Todays Date * * Required
Last Name *
Mother's Name Father's Name
Street Address *
City *
Zip *
Home Phone# * EMail Address
Mom's Birthday Dad's Birthday
Anniversary
Interests

Multiples Due Date Multiples Birth Date

Check Multiple Type: Fraternal Identical Unknown

Multiples Names Multiples Birth Weight Sex (M/F)

Other Children Birth Date Sex (M/F)

How did you hear about CPOMC?

Welcome to CPOMC. We are happy to have you and your family as members!
 

 

Home Learn About Us Upcoming Events Get Involved! Consignment Sales Board of Directors Twin Links