Storm The Hill With The Maryland Delegation
Join your colleagues and Maryland Optometric Association leadership for advocacy in Washington DC. AOA on Capitol Hill 2018 will be held on April 22 - 24, 2018. Participation is open to all doctors and optometry students.

Please fill out all required fields so MOA staff can set up meetings on your behalf based on your/your legislators' availability. When your meeting times have been determined, you will receive confirmation along with meeting details and relevant advocacy materials. (NOTE: MOA takes member privacy very seriously - any personal information provided will remain confidential and will only be used by the MOA for advocacy purposes).

Email address *
Name *
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Voting Address *
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Home or Cell Phone Number *
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Practice Name (If Student - Put N/A) *
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Practice Address (If Student - Put N/A) *
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Preferred Method of Contact *
Please choose the time(s) of your availability *
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Please direct all questions related to MOA legislative efforts to Jennifer Cohen at jcohen@marylandoptometry.org or (410) 949-7006
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