Birth Matters Virginia | Individual Membership Renewal

Individual Membership Renewal Form Have you changed your contact information? no, click here

Name
Street Address
City
State
Zipcode
Phone Number (with area code)
Which BMV local chapter do you wish to be "attached" to
Preferred email address for the Yahoo! group invitation
Preferred email address for correspondences

After you have submitted this registration form you will be directed to payment information. Credit card payments are secure using PayPal. You do not need to register for a PayPal account.

Your registration may take two to three weeks to complete. You will receive a new member packet in the mail and an invitation to the Birth Matters Virginia Yahoo! Group for members by email. Please look for the invitation because it will expire two weeks after it was sent. If you do not receive your email invitation within three weeks please contact: Kathy Hubbard at tidewater@birthmattersva.org. We appreciate your patience and thank you for supporting evidence based care in Virginia.

Birth Matters Virginia is a 501(c)3 non-profit organization. We have no religious or political affiliation.
All donations are tax-deductible. Click here to make a donation.

Birth Matters
PO Box 3540, Lynchburg, VA 24503
mfschuppe@verizon.net