Membership Application form

We’d love to have you join VBN!

Please fill out the following required information to the best of your ability. This can be a bit time consuming so please set aside some time where you are unhurried and have time to devote to getting the form completed and all required information attached. ((And please don’t skip including your summary and image in the 2nd section!!).

Nice Work! You’re almost done…

We need a summary of your services and a photo!

Please submit the information and image you’d like to include with your listing and click the Send button below…

*Please share some information about you, your training, goals, services, etc. that you'd like to include with your listing (approx 65 words max)

*Please upload an image for your listing, whether it be a picture of you, your product, or logo.

And Lastly…

To complete the application, please pay your membership dues of $25 via PayPal by clicking the button below. Membership dues are required annually, in October, to renew membership. The membership payment goes towards production of promotional material and the cost of events and other public outreach. If you would like to mail a check, follow the instructions on the Membership Information page.

After receiving your donation and application that states you have endorsed the Mother Friendly Childbirth Initiative (Birth-Related Professionals only), your listing will promptly be added to the VBN Provider Directory. Your email address will be added to our email list and you will be kept up to date on all VBN activities and events. We look forward to growing with you!

VBN appreciates your dedication and support for Mother Friendly Maternity Care!

Thank you and welcome aboard!

A VBN member will be contacting you shortly to help get you plugged in!

Comments are closed.