Louisiana Speech-Language-Hearing Association
LSHA VOLUNTEER FORM
Become a Volunteer today!!
Name:
Address:
City: State: Zip Code:
Phone: Work Home
Fax:
E-mail:
I am interested in helping with:
Audiology Issues
Continuing Education
Convention
Legislation
Med/Rehab Issues
Newsletter
Private Practice Issues
Public Relations/Marketing
Public School Issues
Scholarship Committee
Student Activities
University Issues
Web Site
Print and mail to:
LSHA
8550 United Plaza Blvd.
Suite 1001
Baton Rouge, LA70809
or simply hit submit to send the form via e-mail
Contact US: LSHA; 8550 United Plaza Blvd.; Suite 1001; Baton Rouge, LA 70809; (225) 922-4512; Fax: (225) 922-4611; Email: lsha@pncpa.com