Get involved!
RequiredRequired Question(s)

THANK YOU for pledging to be part of the "root system of support" for breastfeeding families! YOU play an important role in empowering women to reach their breastfeeding goals. 
 
Please answer the following questions. We are eager to hear how you would like to GET INVOLVED and help make breastfeeding easier!
 
Required 1.
How did you first become aware of BreastfeedLA?
Referred by friend or colleague
Searching the internet
Went to an event
Saw flyer or brochure
Facebook
Twitter
YouTube
Other  
Required 2.
Which of the following volunteer roles would you be interested in learning more about? 
Please select all that apply.
I am not interested in or able to volunteer at this time.
Steering Committee Volunteer (help with overall program planning)
Education Committee Volunteer (help plan seminars)
Volunteer Writers (Write for newsletter, blog, articles)
Legislative Ambassador (reach out to elected officials and stakeholders)
Speaker's Bureau Volunteer (provide breastfeeding community talks)
Special Events Volunteer (staff a booth at community events)
Video Committee Volunteer (create and oversee video production)
Resource Directory Volunteer (help recruit and manage contacts in our Breastfeeding Resource Directory)
Fundraising Committee Volunteer (develop & help implement giving campaigns)
Other  
Required 3.
BreastfeedLA is celebrating our 20th year! Want to support our next 20 years?

Please consider providing a tax-deductible donation so we can keep improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding.

In honor of our 20th year, ANY donation of $20 or more will receive a thank you gift: our "Breastfeeding Welcome Here" sticker. YOU get to decide where this message will be displayed in your community! 


YES, I will make a tax-deductible donation by following the link at the end of the survey
YES, I will make a tax-deductible donation by sending a check to: BreastfeedLA, 2110 Artesia Blvd, Suite 423, Redondo Beach, CA 90278
I will NOT be making a donation at this time
4.
Please share your contact information so we can send your "thank you" gift and/or contact you with any information you requested. 

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

5.
Is there anything else you would like to share about your involvement or support of BreastfeedLA?
 

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