Billing Contact Form | California Optometric Association
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Fill out the following to add an additional contact to recieve your monthly dues statement. This allows them to be sent directly to your billing/bookeeping department.

Member OD: *
License #: (numbers only) *
Billing Contact Name: *
Title: *
Billing Contact Email: *



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California Optometric Association
2701 Del Paso Road, Ste. 130-398 | Sacramento, CA 95835 | 833-206-0598