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Registration
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. If you prefer funds transfer to the Group's DBS bank account, please email This email address is being protected from spam bots, you need Javascript enabled to view it   for details. 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
$15$20
All 4 Breastfeeding Workshops (Series)
$50$70

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

*Companion is defined as a person staying in the same address as the first participant, which may include husband, domestic helper (maid), parent/parent-in-laws.

Special Concerns about Breastfeeding you want to know about:







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Signature of Workshop Applicant(s)
Date:

 


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