Response-O-Matic Form
Join
Georgia Friends of Midwives

Anyone can join Georgia Friends of Midwives. 
At this time, there is no fee to join, though we welcome donations.
To join GFOM, please fill out the form below.


Your comments are appreciated!

Just complete this form. Click on Submit when ready to send.

Your name:

Email address:

Mailing address:

City, State, & Zip

Home Phone:

Work Phone:

Fax:

Please add me to the GFOM announcement-only email list.

I am a (check as many as apply):
concerned citizen
parent
CPM
CNM
other midwife
CBE
doula
other

I am willing and able to:
be on the steering committee
help write flyers or articles
help plan political strategy
maintain an email list
manage a phone tree
coordinate organizing in my area of the state

How did you hear about GA Friends of Midwives?

 

Comments?

 

 

 

  [  Home  |   About  |   Calendar  |   Archives  |   Join  |   GMA  |   Links  ]