How to Join – Broward Ostomy Association

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 an additional 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).

DISCLAIMER: The documents contained within these web pages are presented expressly for informational purposes only. In no way are any of the materials presented here meant to be a substitute for professional medical care or attention by a qualified practitioner, nor should they be construed as such. ALWAYS check with your doctor if you have any questions or concerns about your condition, or before starting a new program of treatment. The United Ostomy Associations of America and operators of this website are not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in or implied by these documents.