Membership Application

Membership is open to laryngectomees or persons with a similar communication disability, partners, carers, doctors, and allied health professionals. 
Membership Benefits

  • FREE Welcome Pack - toiletry bag, vanity mirror, forceps, stoma cover, personal light, stoma wipes, emergency car window sticker, emergency seatbelt cover, emergency wristband, a pen, emergency neck breather wallet card, General Information and First Aid leaflet, ‘You Can Say That Again’ booklet.
  • Regular communications - updates on the activities of the association.
  • Invitations to LANSW events and functions.
  • Purchase Supplies - at cost or discounted, and free postage.
  • Access to Support Meetings - in Sydney, Newcastle and regional NSW.
Membership Fees

Membership is $10 per year, and then due each year on the 1st of January.

When your application is approved, we'll send you an invoice with options on how to pay.
 
Please Note: Membership is valid from when we receive payment. 
Gender Identity. (optional)
Which category best describes you?
If you are a laryngectomee, which hospital performed your surgery?
(Choose a hospital from the dropdown list)
The date of your laryngectomy operation? 
(Leave blank if not a laryngectomee)
How did you hear about us? (optional)
No email address? 
If you do not have an email address, you can submit your application by post.
Click HERE to download the the postal application form. 
To complete your application, click on the box beside 'I agree to the terms and conditions', and the box beside 'I am not a robot', then click on the 'Submit' button.