LOA/LHON Logo
LOA/LHONAssociation

Become a Member

Membership Types

Patient Member

For people who have LOA/LHON themselves

€30/jaar

Family Member

For family members and loved ones

€25/jaar

Donor

Support our work without voting rights

€15/jaar

Registration Form

Personal Information
Address Information
Membership Type *

* Required fields

Payment Details

After receiving your registration, you will receive a confirmation by email with payment instructions. You can also transfer directly to:

IBAN:
NL12 INGB 0001 2345 67
Account name:
Belangenvereniging LOA
Reference:
Your name + membership