The Organization of Parents Through Surrogacy
 




Mailing Address:
P.O. Box 611
Gurnee, IL 60031
Telephone:
(847)782-0224

Email: bzager@msn.com

  

OPTS Information

Surrogacy Resources

Tips On Agencies

Family Stories

Kids Corner

Legal Briefs

Medical Articles

Counselor's Corner

Surrogates Point Of View

 

 

 


 



 


OPTS - Membership Application

 

 
Individuals/Couples:
$50.00
 
Professional Members:
$100.00
International Members:
$50.00
 
Surrogate Mothers:
$50.00


 

Please print our application by selecting the PRINT option on your browser. Mail this completed application along with your Membership dues to:

 

OPTS
P.O. Box 611
Gurnee, IL 60031
(847)782-0224


 

Or you 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.


 
E-mail address:

 
Name:

 
Address:

 
City:

 
State:

 
Zip Code:

 
Home Phone:

 
Work Phone:

 


 



 
BIOGRAPHICAL INFORMATION


PLEASE INCLUDE CHILDREN, IF ANY, A DESCRIPTION OF YOUR INFERTILITY, REASON FOR INTEREST IN SURROGACY AND YOUR PRIOR EXPERIENCE WITH SURROGACY AND/OR ADOPTION:






Are you currently working with an agency?


Yes
No



 
AREA OF INTEREST (Check all that apply)




Traditional (Artificial Insemination) Surrogacy

Gestational (IVF) Surrogacy, using your own eggs and sperm

Egg Donation

Sperm Donation

Other

 



Working with a family member

Working with a friend

Doing an independent arrangement on own

Using a professional program for help in finding and screening a surrogate

Other:



 



 
PLEASE INDICATE THE AREAS YOU WOULD LIKE TO BE ACTIVE IN:



Help with legislative action

Speak out publicly or do media interviews

Write about my experiences for OPTS NEWS

Organize an area chapter of OPTS

Be a "Phone Friend" that other members can contact for information or support.



 



Area of experience or knowledge:




I would like to be a media spotter for news and articles, features, TV programs, etc. on surrogacy.

I am interested in hosting get together for members in my area.



Are there any areas you would like to see addressed in the newsletter?



 



 
PHONE 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.




SIGNED________________


DATE: ________________


 
Thank-you once again for your interest in OPTS.



 

2007 OPTS - The Organization of Parents Through Surrogacy