MEMBERSHIP APPLICATION FORM
Lymphoedema Association of QLD Inc. ABN: 13 602 257 202
  • PLEASE NOTE: A new membership paid after 1st April will be current until 1st July the following year.

  • PLEASE NOTE: Donations over $2.00 are tax deductible.
  • NAME: Lymphoedema Association of Qld Inc.
    BANK: Westpac
    BSB: 034 272
    ACC: 12 5179
    REFERENCE: Membership and {Your Last Name}