PO BOX 14940
Baton Rouge, LA 70898 
Phone: (225) 326-3180
LASCA RENEWAL MEMBERSHIP ONLINE FORM













LOUISIANA AMBULATORY SURGERY CENTER ASSOCIATION
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Applicant's Business:
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List Contact Person(s) - (maximum of two) - to whom LASCA information should be sent (Newsletters, special notices)
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I/we hereby apply for membership in the Louisiana Ambulatory Surgery Center Association (LASCA) and agree to abide by such By-Laws and/or rules of the Association which may be enacted. The information herein is true and to the best of my/our knowledge. We hereby apply for membership in the Louisiana Ambulatory Surgery Center Association (LASCA) and agree to abide by such By-Laws and/or rules of the Association which may be enacted. The information herein is true and to the best of my/our knowledge.  By submitting this information below, this is our electronic signature.
By clicking on the submit button below, you will be directed to the payment page.  Annual Dues are $500.00 for LASCA 2017 ACTIVE Membership (January 1, 2017 - December 31, 2017