Become a Task Force Contributor

Your contribution is the first step in making real changes!

Help the Breastfeeding Task Force of Greater Los Angeles achieve its mission of improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding.

Your contribution makes the following possible:

• The Breastfeeding Resource Directory

• Our free email newsletter

• Networking among professionals interested in making a difference in quarterly Task Force meetings

• Professional education seminars

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You can contribute in two ways:

1. Online Credit Card Contribution

2. Mail or Fax: Download Contribution Form

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Please complete the following online Credit Card Contribution form

Please complete all required fields (*Required Fields). Your privacy is very important to us. All your information will be kept confidential and will not be shared by any third party.

 

Personal Information:

First Name*
Last Name*
Billing Address*
City*
State*
Zip Code*
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Home Phone
Work Phone
E-mail*

Donation Amount*:	Please Select... $10 $15 $25 $50 $100 Other:
Payment Type*:	Please Select... Visa MasterCard
Card Number*:	No spaces or dashes.
Card verification number (CVV2):	*Required if it's on your card. (Help locating number)
Expiration Date*:	Month: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year: 2006 2007 2008 2009 2010 2011 2012 2013
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  Please press "Submit My Donation" button only once to avoid duplicate submission, thank you!