print off this form and mail to us

   

Subscription Form

Name

Address

Phone

Email


Enclose your yearly subscription of $30.00 and mail to:

Canterbury Home Birth Association
PO Box 2806
Christchurch
New Zealand

Attn: Subscriptions

I am interested in (please tick as appropriate):

  Receiving Birthplace magazine
  Attending support group meetings
  Attending the committee meetings
  Helping with fundraising
  Attending workshops
  Using the library
  Contributing to the magazine
  Contributing home birth photos
  Contributing a home birth story
     
  I am planning a home birth
  I have had a home birth
  I am a midwife
  I am a student midwife
  Other ________________

 

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