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 Breastfeeding Support Consultants
Center for Lactation Education

   BSC Center Distance Course Application.

If you wish to apply for 510 or 511, please email us at info@bsccenter.org and we will send a detailed application.  

If you are applying for any other courses, you may fill out the following form, or email us at info@bsccenter.org.

Name:

Address:

City:  State:  Zip Code:

Email:

Phone Number:

Please tell us where you heard about BSC

What Courses are you requesting? Please remember that 510 and 511 require a separate application.

How can we best reach you?

When can we best reach you?

I will pay by   

Card Number  

Card Expiration Date

If you would like to submit credit card information over the phone, please call 630-547-5057. You may also email the information.

 

Breastfeeding Support Consultants / Center for Lactation Education
44 N. Cornell, Villa Park, Illinois 60181, USA
Phone: 630-547-5057
E-mail:  pallyn@bsccenter.org

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updated 10-25-10