2018 Membership Form for Southern Nevada Breastfeeding Coalition
The Southern Nevada Breastfeeding Coalition is a part of the Breastfeeding Task Force of Nevada, an organization supporting education and the art of breastfeeding.
The Southern Nevada Breastfeeding Coalition's mission is to inspire, educate and build community support to make breastfeeding the norm for infant feeding in Nevada.
We invite you to join us in our efforts. Together we can work to improve the health of Nevada's families.

Benefits of membership include:
* Discount on conferences and education events offered by the Southern Nevada Breastfeeding Coalition.
* Discount on any books or materials offered by the Southern Nevada Breastfeeding Coalition.
* Discount on continuing education credits offered by the Southern Nevada Breastfeeding Coalition.
* First hand opportunities to help shape the direction and perception of breastfeeding in our community!

We invite you to join us as a member and also at upcoming meetings. Meetings are held the third Wednesday of each month at noon at the Southern Nevada Health Department 280 S. Decatur Blvd. Las Vegas, NV 89107.

Memberships are available for individuals or groups/organizations (includes membership for up to 3 members, who must be listed on this form to get membership benefits).

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Membership Instructions
Please note that this form is the first step in the membership process. After submitting this form (at bottom), you will be taken to a page with links explaining how to complete your membership by paying by check (by mail) or by credit card online using Paypal. For Paypal, you can pay using a Paypal account or as a guest without creating a Paypal account. Please note that you will have to enter your name and address here for our membership database and again on the Paypal site as part of the payment process. Thank you. Also note that group memberships are available for a maximum of three members of an organization. If a group has more than three members who wish to join, please complete this form two separate times.
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Member name or main contact person for Group/Organization memberships *
First name
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Last Name
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Title
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Affiliation/Employment
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Street Address
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City
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State
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ZIP code
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Phone Number
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Email address *
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Please re-enter email *
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Do you want to be added to the email list to receive meeting information? *
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Which level of membership would you like? *
Please note that all memberships are for the calendar year 2018 (Jan to Dec), no matter what point in the year you join. Thank you! Also, note that after you submit this form, it will take you to a page with the Pay by Paypal link or you can mail a check. Your membership is not complete until payment is submitted!
Additional Members for Group/Organization
If you are paying for a group or organization membership, you may list up to 2 additional group members who will be eligible for member benefits. Please submit their names and email addresses in the box below. By providing emails, you agree you have permission to add these members to the email list for Coalition meeting reminders and events. Thank you.
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