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Membership Application

Believing in the principles and ideals fostered by the Oregon Optometric Physicians Association, and believing that these purposes can be attained only by the unified endeavors of all professionally minded optometrists, to the end that our profession may attain its ultimate degree of usefulness to society, and desiring to contribute my just share toward the full realization of these purposes. I do hereby make application for membership, and submit the following information for guidance in passing upon this application.