Bailey Medical Low-Income Program

Welcome to Our Low-Income Program

Bailey Medical Engineering is dedicated to supporting women who breastfeed by providing quality breast pumps and accessories at reasonable prices. We believe that breastfeeding is a vitally important step toward happier, healthier, children and a better society, and we thank you for choosing to breastfeed your baby.

If you qualify for our low-income program, you can purchase the Deluxe or the Basic Nurture III Breast Pump at a $50.00 discount. Please fill out the simple application below.

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

Email:

Please check the number of persons in your household: *

Total Combined Annual Income
One (1) My qualifying income is less than $31,900
Two (2) My qualifying income is less than $38,700
Three (3) My qualifying income is less than $45,500
Four (4) My qualifying income is less than $52,300
Five (5) My qualifying income is less than $59,100
Six (6) My qualifying income is less than $65,900
Other: (Each Additional $6,800)

Declaration and Self-Certification:
I state the information I have provided in this application is true and correct. By submitting this application I certify that I have read, understand and qualify for the discount offered to those with a reduced income based on the income guidelines below. After submitting a qualifying application I will receive a promotional code for discount allowance.

* Required fields

This $50.00 discount offer only good for the Deluxe or the Basic Nurture III Breast Pump.