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Associate Member Application

Overview

You are eligible to apply for membership as an Associate Member if:

  • You hold a degree of Doctor of Medicine, Doctor of Osteopathy, Doctor of Veterinary Medicine, or Doctor of Philosophy in science; and
  • You are NOT an ophthalmologists but engaged in a field allied with or in a basic science related to ophthalmology.

To apply for membership:

  • Fill out the application online (PDF 1 MB) (use the tab key to move from field to field).
  • Print the application.
  • Obtain all necessary signatures.
  • Mail or fax the completed application to Member Services.

If you are unable to use the fillable PDF version of the application, you can also download the form (PDF 1 MB) and fill it out by hand.

Application Fee: $500 (USD).
Application Deadline: July 15, 2008.

If you are unable to access the application, you may request an application from Member Services by phone 415.561.8581 or fax 415.561.8575.

 
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