​​​​In order for your purchase to be processed with our 2021 bundle, your application and payment in full must be received by November 27, 2020.

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


2021 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 2021 CLCA membership

= $ 30 (regularly $35)







Step 2:  Optional add-ons:

Add-on #1:  USLCA Membership 

Enhanced .........................=$120 
Standard ...........................=$ 80 (regularly $90)
Basic ................................=$ 60 
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

ILCA Membership Options
Print or Online JHL
CLCA Membership (list name)
USLCA Membership Options