This sign-on form is for organizations only. 

Download a copy of the statement: http://www.usbreastfeeding.org/d/do/2406

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* 1. ORGANIZATION signing on
Please provide the name of your organization exactly as it should appear on the letter. In particular, we ask that you spell out the name of your organization and avoid acronyms.

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* 2. Organization Scope:
Please indicate your organization's scope (national, state, local, tribal, regional, etc)

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* 3. Check this box to indicate that you have received permission from this organization to sign on to this letter.

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* 4. Individual signing for this organization
This is typically the Board Chair/President or the Executive Director/CEO

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* 5. Individual completing this form

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* 6. Additional comments or questions:

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