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.

    Health Professional Member applications are subject to approval by the LAQ Committee. As part of their yearly membership Health Professional Members receive a FREE listing in our Lymphoedema Services Directory.
  • 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}