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CVF Application Request

Fields marked with * are required.

Please fill out the information below to request an application. CVF personnel will mail you the application within 2-3 business days. Please check spelling to be sure your application will be sent to the correct address. Each application allows up to four people per household. Please only fill out the form once if you have 4 or less applicants.

Por favor complete la siguiente información para pedir una solicitud . Personal de CVF se le enviará por correo la solicitud dentro de 2-3 días laborales . Por favor verifique la ortografía para asegurar que su solicitud será enviada a la dirección correcta . Cada aplicación permite que hasta cuatro personas por hogar. Sólo llene el formulario por favor si usted tiene 4 o menos solicitantes.

State/Estado:
CA

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California Optometric Association
2415 K Street, Sacramento, CA 95816 | 916-441-3990
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