Birthline Birth Registry: Join Today at Research Etc. Inc.

After your posting is listed, please let us know if you have made a match! This will not only help us in determining the success rate of Birthline, but we can also remove your posting to keep Birthline as current and up-to-date as possible. If you do make a match and would like your story featured under our reunion stories, please send your story (with names and places changed) and we will be happy to post it!

Be assured that the personal information is for our eyes only and will not be released to anyone under any circumstances, and will not be used by us to solicit your business. If you have been solicited for unwelcome business by anyone through your listing on Birthline, please contact us immediately. We do not in any way endorse solicitation through our Birthline Registry.

Fill out the Birthline Registration Form below with your information and click the Submit button. You will receive an email from us verifying that we have received your listing. IMPORTANT: We do not post your current name on your listing, only your email address. Your identity is only for Research Etc.'s records and never divulged to anyone.

BIRTHLINE REGISTRATION FORM

* Required fields
Name *
E-mail Address *
Relationship to Adoptee *	I am the Adoptee Birth Mother Birth Father Birth Sibling Other Birth Relative Adoptive Parent Searcher
Adoptee's Date of Birth
Adoptee's Sex *
Adoptee's Race
Hospital of Birth
City of Birth
County of Birth
State of Birth
Country if Birth outside of US
Enter any additional comments below.

I have read and agree to the Privacy Policy *

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Email Research Etc. Inc.: RSearchEtc@aol.com

8390 E. Via De Ventura #F110-184, Scottsdale, Arizona 85258

(800) 992-3571 ♦ (480) 664-4345 ♦ Fax: (480) 367-0119