Join CHDPOM

Application Process

1. Fill out the application form below.
2. Your application will be reviewed. Upon approval you will be sent a link to create your password and prompted to log-in and complete payment/registration.
3. Your membership will expire on July 31, 2022 unless you are a lifetime member (no expiry date).
4. If you have any questions/concerns regarding the application form or any general questions about membership, please contact membership@chdpom.com

I would like to apply for:*

Family Membership - $34.00 (families with twins who are 5 years of age or younger)

Lifetime Membership - Free (families with twins who are 6 years of age or older)

Primary Member Name*

First Last

User Name*

This is the user name you will use to log into the site when your membership application is approved. It cannot be changed later.

Address*

Street Address City State ZIP Code

Email*

Phone*

Secondary Member Name (spouse / partner)

Secondary Member Email

Multiple’s Names

Multiple's Birthdate (or expecting date)*

Name(s) and Birthdate(s) of Other Children (if applicable)

How did you hear about Chapel Hill-Durham Parents of Multiples?

If you chose "Other" above, how did you hear about us?

Additional Comments