Full Membership
Welcome to the first step in becoming a LAOSA member! In orderto be a LAOSA member and benefit from all we have to offer, we need to know where you received your certification. Please provide us with the following:

1. Certificate of Lymphoedema Training (135+ hours)
2. Professional Registration Certificate (HPCSA/SANC)

Membership Fees for 2020: R300.00 (EFT), R350.00 (Cash)
Due Date: 31 March 2020

LAOSA, ABSA BANK, Account No: 9280347754, Branch Code: 632005

Please fill in the form and submit required documentation and proof of payment to: membership@laosa.co.za
Email address *
Title (Mr/Ms/Mrs/Dr/Prof)
Your answer
Name and Surname
Your answer
Professional Qualification/Credentials:
Your answer
Practice Number if applicable (for NPR):
Your answer
HPCSA/SANC/AHPCSA Number:
Your answer
Lymphoedema Certification (e.g. FG-MLD, Casley-Smith, ILWTI, Norton, Vodder, etc.)
Your answer
Work Address
Your answer
Location
Phone Number
Your answer
Area of practice
By applying for membership of LAOSA, I agree to abide by the rules and constitution of LAOSA.
A copy of your responses will be emailed to the address you provided.
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