2019 PRO-LC Membership Form
To join PRO-LC or renew your membership for 2019, complete and submit this form. The form will take about 2 mins to fill. Then, visit www.paypal.me/prolc to submit payment for your membership.
Primary email address
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Secondary email address (optional)
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Full Name *
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Credentials *
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Phone Number *
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Address *
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Are you a new member or renewing a current membership? *
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If you selected student membership, please indicate your program name and institution/organization.
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I am paying via *
PRO-LC offers 2 online communities for connecting with peers. Would you like to join/remain a member of our Yahoo Group or our Private Facebook Group? *
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If you'd like to join our Facebook group, please indicate your Facebook profile name.
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In the future, if we use one social media platform for peer to peer communication, which would you prefer? *
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Are you an IBCLC in private practice that would like to have your information placed on PRO-LC's "Find a Lactation Consultant" webpage? *
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