Donate to D.C. Breastfeeding Coalition:

$

Contact Us:

Mail:
P.O. Box 29214
Washington, DC 20017

Phone:202-470-2732

Email: info@dcbfc.org

DISCLAIMER

The information presented here is not intended to diagnose health problems, breastfeeding problems, or to take the place of professional medical care. If you have persistent breastfeeding problems, or if you have further questions, please consult your health care provider. The DC Breastfeeding Coalition does not share partnership with, or have any vested interest in, any of the businesses that may appear on this site, or sites that may be assessable by links herein contained.

Membership Application

As a member of the DC Breastfeeding Coalition you will be making an important contribution to advancing breastfeeding in the District of Columbia. You can join as an individual, or as a representative of your organization. YOUR DUES AND DONATIONS ARE TAX-DEDUCTIBLE.

Annual Dues Structure (January 1 – December 31)

  • Individual $25
  • Corporate $300

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Please print clearly

Name:

Title:

Organization:

Address 1:

Address 2:

City: State: Zip:

Home Phone: Fax:

Mobile Phone: Pager:

E-mail:

Membership type: Individual Corporate

In addition to my dues, I would like to make a monetary contribution to support coalition activities.

Membership agreement: I will uphold the mission of the Coalition to support, promote and protect breastfeeding in the District of Columbia.

Signature (Full Name): Date: May 23, 2013

Dues:

Additional Contribution:

Total Amount:

PLEASE MAKE CHECKS PAYABLE AND MAIL TO:
DC Breastfeeding Coalition
PO Box 29214
Washington, DC 20017-9214

We Appreciate Your Membership!