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MotherToBaby Sign Up Information

Last Updated:
5/7/2020 1
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Email Address

 Email

Password

 Password

Your Name

 First Name, Last Name, Middle Name

Your Address

 Home Address, City, State, Country, Postcode

Phone Number

 Mobile Phone

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to MotherToBaby.

 

Good Morning Mr. Lopez,

 

We have received your information through our website that you are interested in being a member of our organization however to make your membership an “Active” status, a $150 membership fee is required for membership.  I am attaching a membership and credit card form if you prefer that method or you can mail a check to the address below or you can do it online through our website at www.mothertobaby.org.

 

We look forward to having you as a member.  Please let me know if there is anything I can assist with at this time.

 

Sheena

 

 

Sheena de Giorgio, CMP| Grant and Membership Coordinator

5034A Thoroughbred Lane

Brentwood, TN 37027

OTIS/MotherToBaby

Direct: 615-423-2925

Office: 615-649-3082

Fax: 888-417-3311 

New_OTIS Logo

 

 

 

Registration
Membership Category Membership Type *
First name
Last name
Title
Password
Email
Phone (mobile)
Home address
City
State
Country
Postcode
Middle name
Membership Category Membership Type *
Individual ($150)
Select the prefix
Select the prefix
Select the prefix
Select the prefix
I am willing to share my contact information with other OTIS members
Select the prefix
Select the prefix
Select the prefix
Consent Information
I consent to the society sending me email correspondence relating to my membership, meeting attendance, meeting submissions or other society programs. *Please note if you do not tick the box offering consent, we will not be able to contact you with any future updates. Volunteer as Expert for Media Request(s)
Yes
Select the prefix
Susan Briggs Scholarship: The Susan Briggs Memorial Scholarship Fund is dedicated to the memory of Susan Briggs who passed away on June 28, 2009. Her husband, Jerry, has been Chair of the OTIS Research Committee for many years. According to Jerry, Susan always supported and encouraged his involvement in OTI
Data Name Data Type Options
Membership Category Membership Type *   Text Box
First name   Text Box
Last name   Text Box
Title   Text Box
Password   Text Box
Email   Text Box
Phone (mobile)   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Country   Text Box
Postcode   Text Box
Middle name   Text Box
  option Membership Category Membership Type *
  option Individual ($150)
  file
  dropdown Select the prefix
  dropdown Select the prefix
  dropdown Select the prefix
  dropdown Select the prefix
  checklist
  checklist I am willing to share my contact information with other OTIS members
  dropdown Select the prefix
  dropdown Select the prefix
  dropdown Select the prefix
  checklist Consent Information
  option I consent to the society sending me email correspondence relating to my membership, meeting attendance, meeting submissions or other society programs. *Please note if you do not tick the box offering consent, we will not be able to contact you with any future updates. Volunteer as Expert for Media Request(s)
  option Yes
  dropdown Select the prefix
  number
  number
  checklist Susan Briggs Scholarship: The Susan Briggs Memorial Scholarship Fund is dedicated to the memory of Susan Briggs who passed away on June 28, 2009. Her husband, Jerry, has been Chair of the OTIS Research Committee for many years. According to Jerry, Susan always supported and encouraged his involvement in OTI

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Comment on: 01/09/2020