BALA Membership Application
Thank you for your interest in BALA! Once this application and your $50 dues have been received, you will receive an email from the BALA membership coordinator.
Primary Mailing Address:
City, State & Zip:
Mobile Phone Number:
Work Phone Number:
Do you rent breast pumps?
Staff IBCLC in hospital or other setting
Birth assistance (doula/midwife/nurse)
Cranial Sacral Therapist
Would you like to be listed in our Find a Lactation Consultant public BALA directory (for IBCLCs only)?
Send me a copy of my responses.
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