GDPOM
2177 E. Gloria Dr.
Deltona, FL 32725
386-532-5662
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Member of NOMOTC


If you'd like some information regarding our club, please fill out the form below and submit it. Someone will be in touch with you either by phone or email as soon as possible. (Fields marked with an * are required.)

Your Name:*
Spouse:
Address:
City:
Phone number:*
Email address:*


What type of multiples to you have, or will be having?

Multiple Twin Sex Triplet Sex
Twins G/G G/G/G
Triplets G/B G/G/B
Higher Multiple B/B G/B/B
    B/B/B

Birth date or EDD:

Comments:

     

 

 

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