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NODE NEWS | MEMBER PROFILE | SPOTLIGHT
Lymphoedema Association of QLD Inc. ABN: 13 602 257 202
Please complete this form so your profile can be published in Node News
Name:
First
Last
Email:
For LAQ Admin Office use only - will not be published on the website.
Mobile phone number:
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###
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For LAQ Admin Office use only - will not be published on the website.
Land line phone number: If applicable
For LAQ Admin Office use only - will not be published on the website.
Your LAQ Membership Type:
General Member
Concessional Member
Life Member
Friend Member
Do you have Lymphoedema?
YES
NO
If you ticked YES | Please describe what type of Lymphoedema you have, your Lymphoedema journey and how you manage your condition.
Please describe why you decided to become a LAQ Member and the value you have found from being a Member.
ABOUT YOU - Please tell us about your your personal background, work history, your interests and what inspires you.
YOUR (3) TIPS - As part of your profile please provide 3 tips that those with lymphoedema might find helpful.
File Upload: (Send Your Photo)
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Please upload the photo you want displayed with your profile on LAQ's website. NOTE: The maximum size of the file you upload here CANNOT exceed 10MB.
I agree for the above information and my image to be published in Node News media and utilised by LAQ across their online and social media communications channels.
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YES - I give my approval
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To send your submission simply click on the SUBMIT button below.
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Lymphoedema Association of Queensland Inc.