Organization-Level Membership

This membership application is for businesses and organizations, which includes a listing in the SDCBC Resource Guide.

If you would like to become an individual member, please click here

SDCBC offers discounted membership rates for professionals from underserved or marginalized communities, as well as those experiencing financial hardship.

Please email sdcbc@breastfeeding.org if you have any questions about SDCBC membership.

Membership Level:

Emerging Small Business $150 (1-5 employees)

Emerging Registered Non-Profit $150 (1-5 employees)

Medium Non-Profit/Business $250 (6-50 employees)

Hospital/Large Business/Organization $500 (50+ employees)

Please set up my membership to automatically renew

First Name: Last Name: Job Title: Personal Phone Personal Email

Company/Business Information

Please share the most updated information regarding your organization/business. The details entered below will be used for resource guide listings and community outreach and promotion efforts.

Company Name Business Phone Business Email: Business Website (link online map directory) Address 1 To be listed on online map directory Address 2 apt, suite, etc City: Zip: - State: Is this an organization or individual private practice? Which county region do you serve/work in? (check all that apply):

Central

North Central

North Coastal

North Inland

East

South

Which of the following do you or your organization offer? Check all that apply Credentials If you offer consults, please describe service locations:

In client's home

In office

Virtual

Phone

Hospital Inpatient

Hospital Outpatient/Clinic

Pediatric Office

WIC center

Other

Do you offer Virtual / Remote / Telehealth services?

Phone consultations

Virtual/Facetime consultations

Other

Other: What types of insurance do you accept? If other: Service Hours

Day (8am-5pm)

Weekends

Evenings (6pm-9pm)

Overnight (10pm-6am)

In what languages are services provided? If other: Do you have experience or feel comfortable serving parents with disabilities? (Ex: After the birth of their child to help them adapt to parenting with a disability and/or coming up with new solutions and techniques to be able to care for their child) If you offer support groups, please share the information below (days/times, location, cost, languages, where to sign up, virtual, etc): Business Address If you are joining the Resource Guide, please share a brief summary highlighting key services you offer for listing description. Please choose your words wisely as this is what will be printed and viewed by community members. (350 charactar max)

Would you like to give a donation? :