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Home
Membership
Membership
Dues Scale
Calendar
Seminars / CE
Seminars / CE
Indiana Optometry CE Requirements
About Us
About Us
Mission and Vision
History
Awards
Awards Criteria & Nomination Forms
Officers
Trustees
IOA Society Presidents
IOA Society Map
Staff
Disclaimer and Privacy Notice
Advocacy-PAC
Advocacy-PAC
Current Legislative Session
Legislator Finder
Senate & House Committees
Doctor Resources
Classified Ads
Sponsorship
Find A Doctor
Patient Resources
Contact Us
Member Login
Meritorious Service Nomination Form - Indiana Optometric Association
MERITORIOUS SERVICE AWARD: Given to a member in recognition for service to the profession of optometry in a specific category or categories. For example: A doctor who has done significant work with VOSH. Other areas could be a specific job performed for the IOA or AOA during the past few years.
*
- Required Field
First Name *
Last Name *
Email *
Please provide the name of your nominee for the Meritorious Service Award
Nominee's City and State
Nominee's Email
Nominee's Phone
Please describe the specific service to optometry in which the nominee has engaged
Additional comments
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