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How to Join

Broward Ostomy Association Membership

If you wish to be a member of BOA, dues are $10.00 per year from January 1st to December 31st which includes receiving our quarterly newsletter, the Broward Beacon. Please make checks payable to BOA, print and fill out a copy of this page and mail to: The Lueders, 2100 S Ocean Dr #16M, Ft Lauderdale, FL 33316

Name _________________________ Age ____ Year of Surgery________

Street _________________________ Apt. ____ Type of Ostomy________

City _________________________ State ___  Zip _______ Phone (___) _________

e-mail address: __________________________________

___ I would prefer to receive a printed copy of BOA’s Newsletter The Broward Beacon OR

___ I would prefer to receive an emailed copy of BOA’s Newsletter The Broward Beacon


__ I am an ostomate. I would like to become a dues paying member.

__ I am also enclosing a contribution for BOA.

__ I am an ostomate and would like to become a member but cannot afford dues at this time. (This information is kept in the strictest confidence.)

__ I would like to become an Associate Member (non-ostomate).