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> Payment > Confirmation
(Fields marked * are compulsory)
Your name and address
*Title:
Mr
Mrs
Other
*First Name:
*Surname:
*Home Address:
*Town/City:
*Postcode:
Your Family Members
Partner's Title:
Mr
Mrs
Other
Partner's First Name:
Partner's Surname:
Names of twins or triplets if born:
Birth/Due date:
(dd/MM/yyyy)
Names of siblings:
Birth dates of siblings:
(dd/MM/yyyy)
(dd/MM/yyyy)
(dd/MM/yyyy)
Do you have triplets?
Yes
No
Your contact and log-in details
Telephone:
Mobile:
*Email address:
*Password:
*Confirm Password:
(To log-in to some areas of our website)
*Screen Name:
(Displays in our discussion forum)
We would like to contact you by email to keep you up to date with club news or events, circulate notices from other twins clubs or charities e.g. TAMBA, or to seek much needed advice on your experience with your twins or triplets to share with our membership.
Please note your contact information will be kept on our database and not disclosed to any other party
Yes - I am happy to receive emails from SWLTC
No - I prefer not to be contacted by email
Would you like be part of our buddy scheme?
What is the buddy scheme?
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Yes
No
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Please note that any advice given or suggestions made are based entirely on
personal experience and are not to be taken as endorsed by the SWLTC.
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