New Jersey Breastfeeding Coalition, Inc.

Membership

Your membership will help protect, promote, and support breastfeeding in New Jersey. To join, please complete the information below.

Name ________________________________________________________________________

Email ________________________________________________________________________

Employer or Organization _________________________________________________________

Address ________________________________________________________________________

Street __________________________________________________________________

______________________ City   __________________State __________________ Zip

Home phone (_______) ________________ Work phone (_______) ________________

The Task Force has a list serve that is used for meeting notices and communication between meetings. 
Please check here if you do not want to be on the list serve.  ____

Please indicate the committee on which you would like to participate:

Legislative Media Watch                 Website           Promotion                Strategic Planning

Enclosed (please check):

Regular Membership, $20.00 per year

Supporting Membership (non-voting) $15

Donation $______________________

Total Amount $______________________

Please make checks payable to:
Please make checks payable to:
New Jersey Breastfeeding Coalition
c/o Marilyn Hines
132 Spring Street
Millburn, NJ 07041
Or by PayPal using email address: online@breastfeedingnj.org