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 and news items.
  • Invitations to events and functions - usually free of charge.
  • Purchase Supplies - at cost or discounted, and free postage.
  • Access to Support Meetings - in Sydney, Newcastle and regional NSW.
Membership Fees

The joining fee is $10.00. Membership fees are then due on the 1st of January each year.

When your application is approved, we will send you an invoice with options on how to pay.
 
Please Note: Your membership is not valid until we receive your joining fee. 
Gender
What category best describes you?
If you are a Laryngectomee, in which hospital was your operation performed? 
Leave blank if you are not a laryngectomee.
The date of your laryngectomy operation?  
Leave blank if you are 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. 

THE LARYNGECTOMEE ASSOCIATION OF NEW SOUTH WALES INCORPORATED
PO Box 443, Woy Woy, NSW 2256. ABN 48 862 877 872