Start Your Donor Application

Please complete the following information

Online Application

Thank you for helping babies like me!

Receive up to $300 in breast pumping supplies

By providing your contact information, you not only begin the application process, but you also provide us with a way to follow up with you should we have any questions regarding your application. Please review our pre-qualification guidelines and donation process pages. After submitting this form, you can expect to hear back from us within 1 to 2 business days.

As an operating company of Prolacta, Helping Hands Milk Bank does not qualify as a 501(c) and therefore cannot accept financial contributions.

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