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WOMBTWIN.COM

Associates

Thank you for deciding to become an Associate of Wombtwin.com. We value your support very much.

If it is really true that 1 in 10 of us are wombtwin survivors, this would mean that there are over 600 million wombtwin survivors in the world.

To demonstrate how widely held is the idea that it is important to study the physical and psychological effects of being a wombtwin survivor, we aim to collect as many Associates as we can. We report the total number of members and associates we have in every issue of GEMINI VOICES, our regular newsletter.

DECLARATION

I support the aims of wombtwin.com and would like to become an Associate.

I understand that my association with Wombtwin.com will be assumed by the members and directors of wombtwin.com to continue until it is terminated by me, or if the company is disbanded completely,
whichever is the earlier.

NAME

ADDRESS

DATE OF BIRTH
[DD/MM/YYYY]

NB.Only people aged over 18 years may become Associates of Wombtwin.com

EMAIL

Please send me GEMINI VOICES

(the Wombtwin.com email newsletter)

Yes No

to the above email

to this email:

ADDITIONAL NOTES

Your personal story for the newsletter

AND/OR

Reasons for your interest in Wombtwin.com Ltd.

AND/OR

Any other comments

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