Lactation Consultant Association Membership Form

________ Annual Dues $15.00

________Two Year Membership $25.00

________Membership New, ________Renewal

Maine affiliate of the International Lactation Consultant Association.

MELCA is open to everyone ~Lactation Consultants and CLC, LLL leaders, childbirth educators, midwives, nurses, nurse practitioners, physicians, physician assistants, WIC staff, nutritionists, and any other health care providers who care for mothers and babies.

Join us if you want to help support breastfeeding mothers and babies.

We meet2- 4 times a year. Visitors are welcome and encouraged.

Membership includes access to a periodic online newsletter and the website.

Offers networking access to a full range of breastfeeding advocates.

Representation in statewide, nationwide and international breastfeeding advocacy

Annual Dues are $15.00 Two years for $25.00
MELCA is an affiliate of the International Lactation Consultant Association and members receive a discount on ILCA dues.

Please join today, and encourage others you know who want to support breastfeeding mothers and babies to join too

Member Information

Name:________________________(include up to 3 credentials)

Address: __________________________________________________________________________________

Home Phone_______________E-Mail________________________________

Work Place:________________Work Phone:____________________________Work Address_______________

Member of ILCA?___Year Certified as IBCLC_____

Please check all that apply. Circle the 3 if you wish to be listed on the MELCA networking list.

Make checks payable to MELCA

Please send dues and membership form to:

Sheila Kayser RN, IBCLC
107 Commonwealth Drive E
Portland, Maine 04103-1261
797-5125
Sheila Kayser RN,IBCLC