Online Membership Application

Membership Application

You can choose to submit electronically through this application and secure online payment or continue to fill in the form, print off and mail in the application and fees.

Member Application

Member Information

Address
Address
City
State/Province
Zip/Postal
Country

Membership - Renew or Signup

Individual

($30 per year; Please see chart pro-rated donation rates if not joining in March/April/May)

  • Subscription to the Canadian Lymphedema Framework’s PATHWAYS magazine
  • Become part of a support and advocacy network
  • Opportunity to participate as a LAM Board member
  • Voting privileges (single vote per individual) at the AGM and any special meetings of the membership
  • Discounted registration at LAM events and symposiums

Professional

($100 per year; Please see chart pro-rated donation rates if not joining in March/April/May)

  • Subscription to the Canadian Lymphedema Framework’s PATHWAYS magazine
  • Up to five copies of PATHWAYS for patient distribution to support your professional practice
  • Advertising in LAM “Swelling with Emotion” Newsletter and on the LAM website
  • Featured listing in the “Trained Lymphedema Therapists in Manitoba” available on the LAM website (per CLF criteria) for therapist members
  • Featured listing on the Trained Therapists- LAM Members Google Map on the LAM website
  • Become part of a support and advocacy network
  • Opportunity to participate as a LAM Board member
  • Voting privileges (single vote per professional membership) at the AGM and any special meetings of the membership
  • Discounted registration at LAM events and symposiums
Select Membership Type
Total

Mail in Applications

Pay by:

  • Cheque
  • E-transfer to: lymphmanitoba@gmail.com
  • Paypal to: lymphmanitoba@gmail.com

A PDF will be emailed to you. Print and send with cheque or after completing E-Transfer or PayPal payment.

Send to:
Lymphedema Association of Manitoba
PO Box 70047 Kenaston Blvd
Winnipeg MB
R3P 0X6

Secure online application

You will be redirected to PayPal to complete payment.