Basic Info
Country code*AUS +61CAN +1IRL +353NZL +64GBR +44USA +1AFG +93ALB +355DZA +213ASM +1-684AND +376AGO +244AIA +1-264ATG +1-268ARG +54ARM +374ABW +297AUT +43AZE +994BHS +1-242BHR +973BGD +880BRB +1-246BLR +375BEL +32BLZ +501BEN +229BMU +1-441BTN +975BOL +591BIH +387BWA +267BRA +55BRN +673BGR +359BFA +226BDI +257KHM +855CMR +237CPV +238CYM +1-345CAF +236TCD +235CHL +56CHN +86COL +57COM +269COG +242COD +243CRI +506CIV +225HRV +385CUB +53CYP +357CZE +420DNK +45DJI +253DMA +1-767DOM +1-809ECU +593EGY +20SLV +503GNQ +240ERI +291EST +372SWZ +268ETH +251FJI +679FIN +358FRA +33GAB +241GMB +220GEO +995DEU +49GHA +233GIB +350GRC +30GRD +1-473GTM +502GIN +224GNB +245GUY +592HTI +509HND +504HKG +852HUN +36ISL +354IND +91IDN +62IRN +98IRQ +964ISR +972ITA +39JAM +1-876JPN +81JOR +962KAZ +7KEN +254KIR +686PRK +850KOR +82KWT +965KGZ +996LAO +856LVA +371LBN +961LSO +266LBR +231LBY +218LIE +423LTU +370LUX +352MAC +853MDG +261MWI +265MYS +60MDV +960MLI +223MLT +356MHL +692MRT +222MUS +230MEX +52FSM +691MDA +373MCO +377MNG +976MNE +382MSR +1-664MAR +212MOZ +258MMR +95NAM +264NRU +674NPL +977NLD +31NCL +687NIC +505NER +227NGA +234NIU +683NFK +672MNP +1-670NOR +47OMN +968PAK +92PLW +680PAN +507PNG +675PRY +595PER +51PHL +63POL +48PRT +351PRI +1-787QAT +974KOS +383REU +262ROU +40RUS +7RWA +250WSM +685SMR +378STP +239SAU +966SEN +221SRB +381SYC +248SLE +232SGP +65SVK +421SVN +386SLB +677SOM +252ZAF +27SSD +211ESP +34LKA +94SDN +249SUR +597SWE +46CHE +41SYR +963TWN +886TJK +992TZA +255THA +66TLS +670TGO +228TON +676TTO +1-868TUN +216TUR +90TKM +993TCA +1-649TUV +688UGA +256UKR +380ARE +971URY +598UZB +998VUT +678VEN +58VNM +84VGB +1-284VIR +1-340WLF +681YEM +967ZMB +260ZWE +263
Relevant ChapterAustralian ChapterNorth American ChapterUK/European ChapterStart a Chapter Elsewhere
Best way to contact youEmailPhone/TextWhatsAppOther
Your preferred pronounsShe/HerHe/HimThey/ThemNot Listed
What best describes your connection to surrogacy/donor IVF?
Choose oneI'm a parent via surrogacyI'm a parent via donor IVFI'm an intended parent currently on a journey of my ownI'm a surrogateI'm a donor (Egg/Sperm)I'm an industry professionalOther - friend/family of an intended parent/surrogate/donor
Which of the following ways would you be interested in supporting? (Choose all that you're interested in.)
Sharing my story in writing (for blogs, guides, or website)Sharing my story on video or in interviewsSpeaking at live or online events (panels, Q&A sessions, info days)Offering one-on-one peer support to new intended parentsReviewing content or resources to provide feedbackRaising awareness of events or initiatives in my community/networkParticipating in closed online groups or forumsHelping shape new ideas for ambassador projects
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