Maine Lactation Consultant Association  Membership Form

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________ 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 meet 2- 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.

IBCLC Hospital based
Breastfeeding Educator
Childbirth Educator    
IBCLC in Private Practice Nurse
Midwife or Physician

Pump Rental Station LLL Leader Nutritionist  WIC Other (specify)_____________________________
I would like to be part of a Board Certified LC Referral List

Carole Tubbs, RN, IBCLC
Melca Treasurer
2 Charing Cross Rd.
Naples, ME 04055