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Registration
WBW 2008
Workshop Registration Form PDF Print E-mail
Registration Form for Workshops Please print out form & Send with your cheque to  "Breastfeeding Mothers' Support Group (Singapore)" at:  96 Waterloo Street, SCWO Centre, #02-04, Singapore 187967. Payment will not be refunded unless the Workshop is cancelled.
 
 
Name: 
 
Tel: 
 
Fax:
 
Handphone/Pager:
 
Address: 
 
Email Address: 
 
Are you a Member? 
 
Amount of Fee Paid: 
 
Age of Baby / Expected Date of Delivery: 
 
Date of Return to Work (if applicable): 
 
Workshop registering for: 
 
 
Dates: 
 
 

Workshop Fee

 MemberNon-Member
Single Workshop
$10$15
All 4 Breastfeeding Workshops
$35$55
All 4 Breastfeeding Workshops + Back To Work Workshop
$42$65

Fee waived for first companion, $5 for second companion. No extra notes will be given to companion.

Special Concerns about Breastfeeding you want to know about:







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Signature of Workshop Applicant(s)
Date:

 


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