New Jersey Breastfeeding Task Force, Inc.
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
Enclosed (please check):
Regular Membership, $20.00 per year
Donation $______________________
Total Amount $______________________
Please make checks payable to:
New Jersey Breastfeeding Task Force, Inc.
c/o Jeanine Hearne-Barsamian