SCCOS General Meeting RSVP
This is the RSVP for the April 2016 General CE Dinner Meeting.
Questions: Audrey Louie, OD audreylouieod@gmail.com
Last Name *
Your answer
First Name *
Your answer
Meal Choices
1. CHICKEN: Grilled Chicken Rosemary
2. BEEF: Beef Brochettes
3. VEGETARIAN: Vegetable Puff Pastry
Please select a meal choice. *
NO SUBSTITUTIONS ALLOWED
OD License # *
Your answer
Email Address *
(in case we need to contact you)
Your answer
Membership Status
SCCOS Member: included in dues
COA Member but not SCCOS Member: $55
Non-COA Member: $85
Student/Resident/Speaker/Sponsor: complimentary

Please pay by check or via Paypal (instructions back on the Announcements page) after completing your form submission.

Select your membership status *
If you have an Optometrist as a First-Time Guest, please indicate their name in the comments. Thank you.
If you are not a member, please tell us how you heard about this meeting
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Comments
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