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The Power of Milk - DONA International

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Membership & CertificationBecome a member <strong>of</strong> <strong>DONA</strong> <strong>International</strong> today. Your membership includes such benefits as referrals; a subscription tothe quarterly magazine, the <strong>International</strong> Doula; a discount on <strong>DONA</strong> <strong>International</strong>’s Annual Conference; and access tothousands <strong>of</strong> doulas around the world who support <strong>DONA</strong> <strong>International</strong>’s mission to improve the physical and emotionalhealth <strong>of</strong> childbearing women and families. Furthermore, your membership in <strong>DONA</strong> <strong>International</strong> is the first step on thepath to becoming a <strong>DONA</strong> Certified Doula. Act now and enjoy immense rewards as a member <strong>of</strong> <strong>DONA</strong> <strong>International</strong>.All materials can be ordered from www.<strong>DONA</strong>.org in the <strong>DONA</strong> Boutique or complete this form and mail or fax it to the <strong>DONA</strong> <strong>International</strong> Home Office.membership optionsMembership fees in u.s. fundsFor current fees in other countries, check the <strong>International</strong> Fee GroupIndex in the <strong>DONA</strong> Boutique at www.<strong>DONA</strong>.org or call the Home Officeat 888-788-<strong>DONA</strong> (3662).Membership in <strong>DONA</strong> <strong>International</strong> includes a subscription to the<strong>International</strong> Doula magazine and eDoula newsletter.One Year $50.00 USD (U.S.)One Year $41.50 USD (Canada)Two Year $85.00 USD (U.S.)Two Year $70.50 USD (Canada)Three Year $125.00 USD (U.S.)Three Year $103.75 USD (Canada)One Year $34.00 USD (Mexico)Two Year $57.60 USD (Mexico)Three Year $83.75 USD (Mexico)group membership informationI wish to receive information on the cost-saving groupmembership option (minimum five group members).certification informationcertification packet in u.s. fundsFor current fees in other countries, check the <strong>International</strong> Fee GroupIndex in the <strong>DONA</strong> Boutique at www.<strong>DONA</strong>.org or call the Home Officeat 888-788-<strong>DONA</strong> (3662).<strong>The</strong> Certification Packet contains all the necessary information andforms for certification. <strong>The</strong> packet must be completed within two years.(Allow 2-3 weeks for delivery.)birth doula certification packetpostpartum doula certification packet$35.00 USD member (U.S.)$28.00 USD member (Canada)$22.75 USD member (Mexico)$45.00 USD non-member (U.S.)$36.90 USD non-member (Canada)$29.25 USD non-member (Mexico)miscellaneousdoulas—making a differenceA video collaboration by Douglas College and <strong>DONA</strong> <strong>International</strong>. Newparents share how doulas made a difference to their birthing experiences.Featuring Penny Simkin, PT, Michael Klein, MD, Pauline Clare, CD(<strong>DONA</strong>).DVD: $20.00 USD memberDVD: $25.00 USD non-memberVHS: $10.00 USD member/non-memberintroducing the doulaA video by Penny Simkin, PT, CD(<strong>DONA</strong>)DVD: $22.00 USD member/non-memberVHS: $12.00 USD member/non-member<strong>International</strong> DoulaQuarterly magazine—one year subscription (membership includes one subscription)$15.00 USD member (additional subscription)$20.00 USD non-memberPlease check the options you want above, then complete the form below.NAMEADDRESSCITY STATE/PROVINCE ZIP/POSTAL CODE COUNTRYPHONEE-MAIL addressI do not wish to have my name included in the <strong>DONA</strong> <strong>International</strong> rental mailing list______ (initial here) As a term <strong>of</strong> agreement to become a member <strong>of</strong> <strong>DONA</strong><strong>International</strong>, which includes my choice to receive referrals, I hereby consentto abide by the <strong>DONA</strong> <strong>International</strong> Code Of Ethics and Standards <strong>of</strong> Practice.(See www.<strong>DONA</strong>.org for the Code <strong>of</strong> Ethics and Standards <strong>of</strong> Practice.)Please give my name to consumers as a (check all that apply)birth doula postpartum doula______ (initial here) As a term <strong>of</strong> agreement to purchase aBirth or Postpartum Doula Certification Packet, Ihereby consent to abide by the <strong>DONA</strong> <strong>International</strong> Code<strong>of</strong> Ethics and Standards <strong>of</strong> Practice. (See www.<strong>DONA</strong>.orgfor the Code <strong>of</strong> Ethics and Standards <strong>of</strong> Practice.)i have enclosed a check for $_______________in us funds made payable to dona internationalcharge my mc, visa, am ex, or discover #EXP.name on CARDSIGNATUREReturn form and payment to: <strong>DONA</strong> <strong>International</strong>, P.O. Box 626, Jasper, IN 47547 USA; fax (812) 634-1491; or order on-line at www.<strong>DONA</strong>.orglast updated 3/0934 <strong>International</strong> Doula Volume 17, Issue 3

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