SAMOM: Seacoast Area Mothers of Multiples

Seacoast Area
Mothers of Multiples
Serving the New Hampshire Seacoast and York County, Maine since 1980

Please complete the form below completley and submit. After submitting, you will have the option to pay online via PayPal or mail in a check.

Member Type:

Has your personal information changed?

Your Name:

Spouse/Partner Name (if any):

Mailing Address:

Town:

State:

Zip Code:

Phone (including area code):

Your Birthday (MM/DD):

Email Address:

Please provide the names of your children, their sex and their birthday or due date:

Please describe what you hope to gain by joining SAMOM? How can we best meet your needs?

Do you have any suggestions for speakers and/or topics for our meetings?

Our Mother Mentor program provides one-on-one support and friendship to new MOMs and/or new members with multiples under the age of one. A Mentor is a current member with multiples over the age of one year.

I would like to BE a mentor for a new member:

I would like to HAVE a mentor assigned to me:

What activities are you interested in participating in?

	Monthly Meetings		Adults only gatherings
	Play dates for kids during week		Clothing and gear sales
	Play dates for kids on weekends		Whole family activities
	Mom's nights out		Other - Please specify

SAMOM is a volunteer-based group that relies on the efforts of its members to provide resources for families with multiples. What skills/activities would you consider contributing to the club? (Note: participation is not required and new moms are advised to wait until they feel comfortable contributing)

	Host a play date		Prepare a meal for a new family of multiples
	Bring refreshments to a monthly meeting		Distribute club information in local area
	Contact prospective/new members		Help in the planning of club events
	Write articles for monthly newsletter		Assist with events that raise funds for SAMOM (i.e. Sale)
	Solicit sponsorships for monthly newsletters or club activities		Other special/professional skills that you’d like to share:

Please review the information you are submitting and make sure it is correct and complete. After clicking the 'Submit Form' button below You will be directed to a payment page where you will be able to pay your membership dues of $25 via PayPal, using a credit card or a PayPal account. If you prefer to pay by check you can either hand in your check or mail it to the mailing address provided. Note: if you choose to submit via check, membership is not considered renewed until your check is received.

Please let us know how you will be paying:

Seacoast Area Mothers of Multiples Serving the New Hampshire Seacoast and York County, Maine since 1980

Seacoast Area
Mothers of Multiples
Serving the New Hampshire Seacoast and York County, Maine since 1980