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Surrogacy & You
Learn from experts what it takes - emotionally, legally and medically - to be a gestational surrogate. Many tell us that doing so was one of the most rewarding experiences of their lives. Here is your opportunity to explore beyond the headlines. For more information, please visit the
teleseminar's Web page
.
Date: July 31, 2008
Time: 1:30 p.m. (CST)
1
. Please fill out the following information to register for Alternative Reproductive Resources' seminar, Surrogacy & You.
Please fill out the following information to register for Alternative Reproductive Resources' seminar, Surrogacy & You.
Name:
City:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
E-mail Address:
Phone Number (Optional):
2
. Please tell us your age:
Please tell us your age:
3
. How did you find out about the seminar?
How did you find out about the seminar?
4
. How many children do you have?
How many children do you have?
5
. Are you interested in becoming a surrogate, intended parent or other? (Please choose one.)
Are you interested in becoming a surrogate, intended parent or other? (Please choose one.)
Surrogate
Intended parent
Other
6
. Can we add you to our mailing list to send you periodic information outside of this conference?
Can we add you to our mailing list to send you periodic information outside of this conference?
Yes
No
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