In order for your purchase to be processed with our 2024 bundle, your application and payment in full must be received by November 24, 2023.
This form is not fillable. If you are purchasing your bundle through our website, you are welcome to either print and send a hard copy of your application to us via postal mail at the address listed below, or you can send the information requested via email to ColoradoLCA@gmail.com
Colorado Lactation Consultant Association
PO Box 460367
Denver, CO 80246-0367
2024 CLCA Bundled Membership Application
Name:_____________________________________________________________________________
Mailing Address:____________________________________________________________________
City:___________________________ State:_______________________Zip:____________________
Phone:_______________________________E-mail:________________________________________
Company:__________________________________Website:_________________________________
Practice Setting(s):___________________________________________________________________
Professional Credentials:______________________________________________________________
ILCA membership number (if renewing)___________________________________________________
Are you currently certified as an IBCLC? Y N IBCLC #_____________ Recertification Date____________
If you are not an IBCLC, are you working towards certification? Y N
Bundle Purchasing (Please note that the PayPal buttons are best viewed via desktop version)
Step 1: Your bundle purchase MUST include a 2024 CLCA membership
= $ 30 (regularly $35)
Step 2: Optional add-ons:
Add-on #1: USLCA Membership
Enhanced .........................=$180
Standard ...........................=$ 100 (regularly $110)
Basic ................................=$ 70
Digital Access..................=$ 30
USLCA Membership Tier Benefits can be viewed HERE
Add-on #2: ILCA Membership
Standard .............................................= $132
Clinical Professionals (non-IBCLC)...= $124
BF Supporters (non-IBCLC)...............= $ 85
Students.............................................. = $ 85
Retired................................................ = $ 58
Please note: All ILCA membership levels include either print OR online JHL. Please indicate your preference below. All memberships include access to online JHL archives.
Add-on #3: Colorado Breastfeeding Coalition Professional Membership
= $ 45 12 months (regularly $60)
Colorado Lactation Consultant Association