MEMERSHIP INFORMATION

Application for membership of The Laryngectomee Association of NSW
Name
Phone
Address
Postcode
Email
Date of Operation
Hospital
 

Annual subscription is $10.00 per annum.
Initial subscription depends on the joining date:-
Jan - Mar $10.00, April - Jun $7.50, July - Sept $5.00, Oct - Dec $2.50

Complete above details and forward payment to The Treasurer:
 The Laryngectomee Association of NSW  P.O. Box 380 Belrose NSW 2085 

OR Membership fees can be paid directly into or sent by internet banking transfer to
the following Commonwealth Bank account:
 L.A. of N.S.W. – BSB 06 2595 A/c 00905579.

OR the  [Membership form] and [Information sheet] can be downloaded

last modified November 4, 2010