Breastfeeding Friendly Employers and Community Partners
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Email *
Business/Organization Name
Point of Contact Name
Point of Contact 10-Digit Phone Number
Business Street Address
City
Zip
Number of Employees
1-10
11-20
21-50
51-100
101-200
201-300
300+
Hourly Employees
Salaried Employees
Per Diem Employees
Clear selection
The Community Partner award is for organizations that support breastfeeding customers or patrons. The Employer Award is for businesses that support lactating staff members. Organizations/Businesses may apply for both or just one. Please select all that apply for your business.
For the Community Partner (for supporting breastfeeding customers/patrons), please select all supportive practices that apply:
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