Tarrant County Breastfeeding Coalition TCoBCo
Membership Application
Name:
Address:
City/Zip
Credentials:
Phone:
Phone:
Email:
Profession:
Do you belong to other breastfeeding organizations?
International Lactation Consultant Association (ICLA)
Check all that apply
Texas Breastfeeding Coalition (TXBC)
La Leche League (LLL)
Mother’s Milk Bank of North Texas
Other:
Do you have experience working with:
Check all that apply
Advocacy/Lobbying
Fundraising
Grant Writing
Graphic Design
Local Promotion
Media/Public Relations
Social Marketing
WebsiteDevelopment
Writing
Executive Board serves 2 yrs
Chair
Secretary
ChairElect
Treasurer
For more information on Tarrant County Breastfeeding Coalition, visit our website:
www.tarrantbfcoalition.com
Membership Information
Membership in TcoBCo, Tarrant County
Breastfeeding Coalition, is open to any
individual, agency, or company who meets the
WHO Code. Members must complete a
membership application and submit annual
dues. Membership year is January through
December. Pay dues at a meeting, PayPal at
www.tarrantbfcoalition.com, or, mail a check to
Tarrant County Breastfeeding Coalition, 600
W. Magnolia, Fort Worth, Texas 76104, Attn:
Amy Vickers, Treasurer.
Membership Levels
Individual: $20 annually
An individual membership is great for a mom,
breastfeeding professional, or medical
provider supportive of breastfeeding. Benefits
include:
 Networking opportunities with other
breastfeeding advocates with 8 meetings
per year
 Weekly breastfeeding email updates from
the Texas Breastfeeding Coalition's "Friday
Report"
 Opportunity to participate in a grassroots
coalition to help breastfeeding become
the infant feeding norm.
 Eligiblity to vote for Tarrant County
Breastfeeding Coalition's Executive Board
and other Coalition actions requiring
member support
Non-Profit: $40 annually
A non-profit organization can apply for a nonprofit membership. Proof of 501c3 status may
be required. In addition to the benefits of an
individual membership:
 Your organization's logo and link to your
website displayed on our website,
mentions on our social media accounts
Corporate: $50 annually
A corporate membership is ideal for a hospital
or physicians group looking to support
breastfeeding. Benefits are the same as nonprofit level.
In addition to my dues, I would like to make a monetary contribution to support coalition activities.
Dues $
Additional Contribution: $
TOTAL CONTRIBUTION: $
Membership agreement: I will uphold the mission of the Coalition to improve the health of Tarrant County (Fort Worth, TX &
surrounding areas) by working collaboratively to protect, promote and support breastfeeding.
Signature
Authorized Signature:
Date:
March 2015
March 2015
March 2015