Please print our
application by selecting the PRINT option on your
browser. Mail this completed application along with
your Membership dues to:
P.O. Box 611
Gurnee, IL 60031
may send in $2.00 for postage and handling and we
will send you information and an application. This
$2.00 will be deducted from your first years dues,
once you become a member.
PLEASE INCLUDE CHILDREN, IF ANY, A DESCRIPTION OF
YOUR INFERTILITY, REASON FOR INTEREST IN SURROGACY
AND YOUR PRIOR EXPERIENCE WITH SURROGACY AND/OR
Are you currently working with an agency?
OF INTEREST (Check all that apply)
(Artificial Insemination) Surrogacy
(IVF) Surrogacy, using your own eggs and sperm
with a family member
with a friend
an independent arrangement on own
a professional program for help in finding and
screening a surrogate
INDICATE THE AREAS YOU WOULD LIKE TO BE ACTIVE IN:
with legislative action
out publicly or do media interviews
about my experiences for OPTS NEWS
an area chapter of OPTS
a "Phone Friend" that other members can contact for
information or support.
Area of experience or knowledge:
would like to be a media spotter for news and
articles, features, TV programs, etc. on surrogacy.
am interested in hosting get together for members in
Are there any areas you would like to see addressed
in the newsletter?
FRIENDS/CYBER FRIENDS REQUEST FORM
____ I/WE WOULD LIKE THE NAMES AND NUMBERS OF SOME
PHONE FRIENDS TO TALK TO ABOUT:
____ I/WE UNDERSTAND THAT THE PHONE FRIENDS NETWORK
IS PROVIDED TO HELP US OBTAIN INFORMATION, SUPPORT
AND EXCHANGE VIEW- POINTS.
WE FURTHER UNDERSTAND THAT OPTS DOES NOT DO ANY
MATCHING OR SCREENING AND DOES NOT ASSUME ANY
RESPONSIBILITY FOR ANY ON-GOING CONTACT,
FRIENDSHIPS, VISITS OR RELATIONSHIPS THAT MAY BE
ARRANGED BY MEMBERS ON THEIR OWN.