Membership Form


Return this form with your payment of $15.00. Make checks payable to: Iowa Breastfeeding Coalition. Send this registration form and dues to: IBC Marieta Boberg WIC Program Iowa Lutheran Hospital 700 East University Avenue Des Moines, Iowa 50316 Date:________________ Name (please print)________________________________________________ Address:____________________________________________ (City)______________________(State)_______ (Zip Code)___________ Phone (H)_____________ (W)______________ e-mail:_____________________ Membership: (please check one) Individual Member $________ Donation $________ **Do you give permission to have your name, town, phone and email included on the Members Only tab of the IBC website? YES_______ NO________
Membership entitles you to:
Submit articles for and receive the IBC Newsletter which is published three times a year that is full of relevant breastfeeding information and resources Vote and run for office Receive notice of our meetings where you will learn what is happening in the legislation regarding breastfeeding in the workplace, listen to speakers who will provide education on breastfeeding, learn how you can help support breastfeeding for all babies in the state of Iowa, become acquainted with other breastfeeding advocates Access the members only section of the website. Social networking through Facebook Help plan educational opportunities for the public Download Membership Form

Iowa Breastfeeding Coalition