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OFP PAC contributions

Support the profession of optometry in Mississippi. In addition recognize that optometry continues to be a legislated profession and pledge a donation for 2019.

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* Mandatory fields
*First name
*Last name
*Nickname / Preferred Name
*Office / Company
Office Phone
OE Tracker
*Donation Program
*Amount ($USD)
If you wish to set up a monthly draft from your bank account / credit card, please call the MOA office at 601-853-4407. This form will not set up monthly drafts.
State / province
Postal code

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