Indiana Optometry's Meeting (July 14, 2021) Stand-By List

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IOA's July Seminar is currently sold out. If you wish to be placed on the stand-by list should IOA receive a cancellation on or before 5:00 p.m. on July 13, please use this electronic form to inform us of your interest. The fees listed below are for your information only - You will not be charged by using this form. If an opening occurs and you are able to attend the seminar, please plan to pay the appropriate fee by check.

Full Name: *

Email Address: *

Street Address: *

City, State & Zip Code: *

Cell Phone:

Type of Registration Desired: *

All prices below include the $35 late fee

IOA/AOA Member ($270.00)

IOA/AOA Non- Member ($350.00)

IOA/AOA Member Partial Practice ($235.00)

IOA/AOA Life/Retired Member ($160.00)

Full Time Faculty ($135.00)

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