Group Membership Form
Has LLL helped you? If so, please give back!
La Leche League is an international, nonprofit, nonsectarian organization dedicated to providing education, information, support, and encouragement to women who want to breastfeed. Our mission is to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and mother. Support meetings, phone/e-mail help, social media, outreach events and our lending library of books and tear-off sheets/pamphlets are provided to mothers at no charge.
Please consider becoming a yearly Member of our group to help support the work that we do. Benefits of Membership to LLL of Richfield/Bloomington include:
-Reusable name tag to wear at meetings
-Discount on LLLI.org store books or other merchandise ordered through the Group
-Discount to LLL area events/conferences
-Invitation to our private, member-only Facebook discussion group
-Peace of mind knowing that you have helped LLL support to continue to be available to other mothers!
To become a Member of LLL of Richfield/Bloomington, MN, please fill out the following form, then click the Donate button at the bottom of our webpage (
http://www.lllofmndas.org/bloomingtonrichfield
). If you would like to pay by check, please contact a Leader for a mailing address. THANK YOU!
* Required
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
E-mail address
*
Your answer
Please re-enter e-mail
*
Your answer
Would you like to receive meeting information?
*
Yes
No
Already signed-up
Which level of membership would you like?
*
Memberships are 1-year long and begin during the month in which your payment is received. You may pay online with a credit card using PayPal or bring check/cash to a meeting.
$30 basic membership
$40 membership (includes a book)
Other:
Would you like a book with your membership? (available with $40 membership only)
Note: Please allow up to 4 weeks for delivery. We will e-mail you when your book is in and you can pick up at the next meeting.
"The Womanly Art of Breastfeeding, 8th Edition"
"Sweet Sleep: Nighttime and Nap-time Strategies for the Breastfeeding Family"
"Working & Breastfeeding Made Simple"
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
