NorthEastern Illinois Doula Association
Promoting Unity in the Doula Community

Expecting Parents, Need a Doula? See the Member List.

First Name *
Last Name *
Address
City
State
Zip Code
E-mail *
Website
Phone
Would you like your contact information to be listed on the Members List and available to the public?	YesNo
Type of Doula (check one or both boxes) *	Labor DoulaPostpartum Doula
Preferred Method of Contact *	E-mailPhoneMail
*	New MembershipRenewing Membership
*	1 year membership - $302 year membership - $50
My payment will be made by *	Credit CardPayPalCheck
If you will be using PayPal to pay with a credit card or your PayPal account, please note the name and email address you will be using to place the payment.
What would you like from NEIDA? Let us know what you are most interested in getting out of your NEIDA membership. We are here to serve you, the doula, and can only do that with your input!
Are you interested in volunteering as a board or committee member.	Yes!No thanks
My relevant skills to volunteering are:

NorthEastern Illinois Doula AssociationPromoting Unity in the Doula Community