Registration

F ill in your information below before going to PayPal and indicate membership or educational offering in the comments section or mail your membership or registration for educational offerings to:

Alaska Breastfeeding Coalition
P.O. Box 2111214
Anchorage, AK 99521-1124

Name
Organization
Phone
E-mail
Address
City, State Zip
Comments

 

Register me for:

 

Membership
paypal
 
$30 Alaska Breastfeeding Coalition Membership
paypal
 
$250 Full 2-Day Conference Attendance
paypal
 
$200 Full 2-Day Conference Attendance ( Full-time students)
paypal
 
$150 One Day Conference Attendance
paypal
 
$125 One Day Conference Attendance (Full-time Students)

*You may charge your fee on VISA or Master Card. Be sure to include
your signature, security code, billing address and the expiration date. A
$30 returned check fee will be charged for non-sufficient fund checks.


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