Memberships

DESCRIPTION

Now 3 Payment Options to Choose From

UNIT PRICE

TOTAL

Washington Licensed Dispensing Opticians

 

 

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Early Bird LDO Savings! Join or Renew and Pay in Full by January 31 and Save!

The EASY PAY Payment Plan – Make 3 Pmts of $40.00 a Month starting Jan, Feb, March 31st

Late to the Party - Dues Paid After April 1

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$100.00

$120.00

$140.00

 

 

$__________

$__________

$__________

Retired LDO

Retired: Member must have a Washington State Active Retired Dispensing Opticians license

40.00

$__________

Apprentice

Apprentice: Any person who is a Washington State Apprentice in Ophthalmic Dispensing or any Unlicensed individual engaged in the ophthalmic profession in the state of Washington,

75.00

$__________

Students

Student

30.00

$__________

Affiliate

 

 

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Contributions

Affiliated: Those persons, businesses or Organizations wishing to acknowledge financial support of this Association

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General Fund $________________

75.00

 

$_________

 

-------------------- Payment Methods

OPAC Fund $______ __________

Student Loan $_________________

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Name

Address

City State Zip Phone

Method of Payment: Check Enclosed made payable to OAW

Check ________ MC _______ Visa ________

Expiration Date ____________

Card #__________________________________

Signature_________________________________

Total

$__________

Any Questions Please Call 509-961-4169 dnhatchoaw@yahoo.com Thank you for your support

Opticians Association of Washington Membership Renewal

P.O. Box 2489 Yakima WA 98907