Membership Info

Membership Info

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	International Twins Association
	6898 Channel Rd. N.E.
	Minneapolis, MN 55432

Yearly dues are:
$ 5	per twin infant - 10 years
$ 10	per twin 11-17 years
$20	per twin 18 yrs & over

Circle One:	New Renew
Name:	_________________________________________________
Address:	_________________________________________________ _________________________________________________
City:	______________________________
State:	________________	Zip/Postal:	_____________
Phone:	_______-_________-______________
Email:	__________________________________________
Birthdate:	________/_________/_____________
Multiple's name(s):	_________________________________________________ _________________________________________________

Last Updated on Wednesday, 09 September 2009 14:38

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02/22/2009 13:40

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