Membership Stats Submission

Please submit the form below with a current membership list that includes the addresses and zip codes PRIOR to March 14, 2017. This information is necessary to complete the membership files of the Association before the March Meeting. Every Chapter’s statistics are compiled into a yearly report.

Thank you for your prompt attention and cooperation on this matter.

Please Note: This information is for MMOTA use only and is not shared.

Name of the person completing this form:*
E-mail:*
Chapter Name*
Number of Members:*
Members with 1 set of Twins:
Members with 2 sets of Twins:
Members with 3 sets of Twins:
Members with Triplets:
Members with Quadruplets:
Members who are Grandmothers: (They belong b/c a child has twins)
Upload Your Membership List:*
Word Verification: