Skip survey header

IPHI's Breast/Chestfeeding Support Resources Order Form- 2022

IPHI’s Breast/Chestfeeding Support Resources Order Form- 2022

Please use this form to order printed chest/breastfeeding resources to provide a culturally humble and equitable approach to chest/breastfeeding support.

This material was developed by the Illinois Public Health Institute and is being distributed with support from the Illinois Department of Public Health.
4. Please note how you are related to the IPHI? *This question is required.
5. How did you hear about these chest/breastfeeding resources? *This question is required.
6. Which of the following would you like to order? *This question is required.
10. Would you like any chest/breastfeeding promotion posters or palm cards? *This question is required.
11. If you'd like 4 x 6 palm cards, please note how many you'd like in each language (you can request up to 75 total as an individual organization OR up to 200 total if you're ordering for a network ).
12. For each breastfeeding support poster you'd like to order, please indicate how many you'd like for us to send. Individual organizations can order up to 10 posters total, with no more than 5 per type. Large networks of organizations (like statewide associations or regional breastfeeding task forces) can order up to 20 posters total, with no more than 5 per type. We will do our best to fill your order, but we cannot guarantee we will have the necessary stock to send you exactly what is requested.
 
13. If we had them in stock, would you like more than the limit of 10 Breastfeeding Basics or 10 Broaching Breastfeeding with New Parents resources?
14. If we had them in stock, would you like more than the limit of 100 Early Journey Map resources?