Copy, paste and print the application below:

 

Honored Fellow

Membership Application

 

SPECIAL PRICING FOR MEMBERS OF Opticians Association of Washington !

Any optician who is a member of OAW can apply for the HFOAA status and proudly display these initials with their professional qualifications.

 

HURRY - SPECIAL PRICE ENDS 6/30/08!! 

Join now and get the remainder of 2008 plus all of 2009 for $50. 

 

LAST NAME:  ___________________  FIRST NAME:  ______________________

COMPANY:  _________________________________________________________

ADDRESS:  __________________________________________________________

CITY:  _______________________   STATE :  ________  ZIP:  _________________

PHONE #:  ___________________________  FAX#:  ________________________

E-MAIL:  ____________________________________________________________

Credit Card Information:

Name on Card:________________________________ VISA  M/C  AMEX (circle one)

Card Number:_____________________________________Exp. Date:_____________

Please check one:

____ I am an Individual Member of OAA

____ I am a Firm Member of OAA

____ I am a current member of Opticians Association of Washington

                                 

Please fill out the application and mail with your $50 payment to:

Opticians Association of America

441 Carlisle Drive

Herndon , VA 20170

OR

Include Credit Card Information and Fax to 703.437.0727

 

If you have any questions please contact Catherine Langley, OAA, at 703.437.8780.