Breastfeeding Friendly Employer Interest Form If you would like to become a Breastfeeding Friendly Employer, please fill out this form and we will get in touch with you shortly. Name of Employer (required) Website (required) Address Line 1 (required) Address Line 2 (required) City (required) State (required) Zip Code (required) Contact Person (required) Your Email (required) Phone (required) Please define your sector (required) Publicly owned for-profitPrivately owned for-profitNon-profitGovernment Agency Please define your industry (required) ManufacturingHealthcareServicesHospitality/RestaurantWholesale/RetailEducationInsuranceTransportationUtilitiesLegalMedia