Thank you for helping to preserve midwifery in Maine!
Please print this page, fill it out, and return to the address below. 
Click here for a printer friendly copy.

___ Yes- I want to be informed! Please add my name to the mailing list.
___ Yes- I am willing to write or call my legislator.
___ Yes- I am willing to come to Augusta to show my support for midwifery       licensure.
___ Yes- I am willing to contribute financial support to the licensing campaign. Enclosed is my check for $____________.

Name:______________________________________________       

Address:____________________________________________       
__________________________________County_______                     
Phone:_____________________________________________
E-mail:______________________________________________            


Thank you for helping to preserve midwifery in Maine!

Donations will go 100% toward furthering the Mission of MACPM.
Donations may be sent via check or money order to

Treasurer of MACPM

Holly Arends,CPM
PO Box 875
Bath, Maine 04530
207-522-6043
holly@birchmoonmidwifery.com
Maine Association of Certified Professional Midwives
In 2006/2007 we raised $9,119.60
Thanks for all your help! 
Our Goal is $10,000 for the upcoming year 2007-2008