Registration Form - 2019 Oregon's Meeting
Event Dates: July 11-14, 2019
Location: Eugene Hilton, 66 E. 6th Ave., Eugene, OR 97401 541-342-2000

We welcome PECAA and VisionSource docs to Oregon's Meeting, thank you for joining us!!

REGISTRATION PROCESSING -

To register on-line, click the fill out form button below OR For mail or fax registration processing, click link below for PDF fill-in form and event schedule http://www.oregonoptometry.org/wp-content/uploads/19-Attendee-Reg-Form_OR-Mtg.pdf

Oregon's Meeting is Optometric Physician education only. For staff education, please register at GWCO in the fall. Attire for event is business casual, and semi-formal for the Saturday evening banquet.

Visit the web site event calendar for all OOPA sponsored events www.oregonoptometry.org

Registrant Information
Name: First / Last / Designation
Your answer
AOA ID#
Your answer
Badge Name
Your answer
Clinic Name
Your answer
Address
Your answer
City / State / Zip
Your answer
E-Mail
Your answer
Phone number
Your answer
Spouse or Guest name [if registered]
Your answer
Registration Type and Fees
Please note: PECAA, Vision Source Docs & AOA Members pay member rates at Oregon's Meeting
Please select your registrant type and calculate your fee(s)
For early bird rate, your registration must be received by May 15th. You can register for the Optometry Ethics course, Industry Exhibit Hall or Golf Event without registering for the entire event, they can be registered as stand alone options. Full conference registration includes one exhibit hall ticket and one banquet ticket, extra tickets may be purchased for guests. Social functions [golf] is at additional cost.
Golf Team [list preferred team mates]
Your answer
For single day rate, indicate which day you will be attending
Meals and Social Functions
Please let us know which meals you are planning on attending.
Friday
Exhibit Hall guests [additional fee applies, list names]
Your answer
Saturday
Dinner Banquet guests [additional fee applies, list names]
Your answer
Sunday
Dietary Restrictions
Your answer
Cancellation Policy
Refund of registration fee(s), less $50/person, will be issued upon written request, provided the written request is received at least 30 days prior to the meeting.

* Not a member ? Register at the non-member rate and the difference is applied towards your first years dues. Join/Renew Today!

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