Louisiana Speech-Language-Hearing Association

 

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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