Country:
Gender:
Are you expecting:
Child 1 Gender:
Child 2 Gender:
Child 3 Gender:
Would you like a buddy? New and Expectant parents only:
What Membership level would you like? (Tick as many as apply):




How will you be paying? (Tick as many as apply):

I give permission for the CMBC to use my personal details for: the membership database; emailed event updates; magazine information (such as welcome to new members and babies, expectant parents and birthday list) and photographs taken at events for publication in the magazine & members only areas of the website. Note your information will otherwise be kept in confidence in accordance with the Privacy Act 1993. :*
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Registration/Update Info

NOTE: If you are already registered please enter your User Name and Password in the Login/Register box OR if you have forgotten your log in details click on 'Forgotten Password' in the login box.

UPDATING: If you are updating your contact details, please send a quick email to our Membership Secretary to make her aware of the change.

Please complete this form with as many details as possible.

  • You will receive an email containing payment details - please action this if applicable
  • Please allow 1 month processing from the receipt of your payment
  • Once your application has been processed, you will receive your CMBC Membership Card
  • Advertisers - you will be contacted by our advertising co-ordinator
  • If you have any questions prior to registering, please contact our Membership Secretary.

Thank you for your interest in the Christchurch Multiple Birth Club!

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NOTE: The fields with an asterix (*) must be filled in.

  
 
 

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