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Pls print and mail this to Breastfeeding Mothersí Support Group (Singapore), 96 Waterloo St, #02-04, SCWO Centre, Singapore 187976; OR fax to 337 0508.

Enquiries: 337 0508 (Grace Tue-Fri 10-1pm; Wed 10-1pm & 2-5pm).

 

 

REGISTRATION FORM FOR MEMBERSí ACTIVITIES

NAME:

MEMBERSHIP NO.

Address:

Telephone (H):†††††††††††††††††††††† (HP):†††††††††††††††††††††††† (O):

Email address:

 

 

End of Year Function

1st December, Saturday

2.00 pm. to 5.00 pm.

 

At Temasek Club, Anvil-Turret Room.No. 1 Portsdown Road (can arrange for car-pool at Buona Vista MRT station but do let Grace know in advance)

 

 

Name of spouse : ___________________†††† Date of birth : ___________________

 

Name(s) of child(ren) coming :

 

1._______________________________†††† Date & year of birth :___________________

 

2._______________________________†††† Date & year of birth :___________________

 

3._______________________________†††† Date & year of birth :___________________

 

4._______________________________†††† Date & year of birth :___________________

 

 

oDo you need car-pool from Buona Vista MRT station?Yes / No

 

 

 

 

Closing date for registration : 20th November 2001

 

 

 

 

 

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