Test Form

HomeTest Form

General Information

Payment can be made by PayPal, Visa, MasterCard or American Express through the PayPal site.

Are you a new member, or a renewing member?

How many people are you registering for?

What is your, or your group's affiliation?

Please provide your mailing address, or the mailing address for your group:


Main Contact

Please use the same email address on the PayPal payment site as well.

Name Email Telephone

Additional Contacts

Name Email Telephone

For larger groups, please upload a separate document with all names and contact information, preferably in Microsoft Word format.

We communicate mostly through email. Please provide accurate email addresses and notify the membership secretary of any changes at

The Provincial Authority for The Baby-Friendly Initiative

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