Benefits
Join CPS

Office Memership Plan
Our Members


JOIN CPS
Membership Applications

Complete a membership application and send it along with
the $30 membership fee to:

California Optometric Association
P.O. Box 2591
Sacramento, CA 95812-2591

Find out more about the CPS Office Membership Plan.

Individual Membership Application (download PDF)

Office & Individual Membership Application Brochure (download PDF)

 

 

 

Online Application

Doctor Information

First Name:

Last Name:

Street Address:

City:

State:
Zip Code:
Telephone:

Fax:

Email:



Please select membership plan below:

Individual Membership

First Name:

Last Name:

Street Address:

City:

State:
Zip Code:
Telephone:

Fax:

Email:

Membership Dues: $30 provides membership for one calendar year, January through December. It is not refundable or transferable.


Office Membership Plan (Please list staff member names) $75.00

 1.    email:

 2.    email:

 3.    email:

 4.    email:

 5.    email:

(Please list staff member names) $150.00

 6.   email:

 7.   email:

 8.   email:

 9.   email:

10.  email:

Sign up more than 10 members for an additional $30.00 each

11.  email:

12.  email:


 

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