MEMBERSHIP APPLICATION

To renew your membership, just complete the form with your current information, and click the SUBMIT button.  Then stick a check in the mail.

Name:
Company:
Co. Address:
City/State/Zip:    
Work Phone:   Extension:
Fax:
Send Mail To: (Work)  (Home)   If owner, please indicate
Home Address:
City/State/Zip:    
Home Phone:
E-mail:

Certified Member

$95.00
LADO Certified:
LADO Certificate:
ABO Certificate:
NCLE Certificate:

Regular Member

$95.00
LADO Regular:
LADO Certificate:

Honored Member

$45.00
LADO Honored:
LADO Certificate:

Associate Member

$45.00
LADO associate:
LADO Certificate:

Life Member

$0.00
LADO Life
LADO Certificate:
Annual dues for calendar year January 1 through December 31, 2009

Make check payable and return to:
LOUISIANA ASSOCIATION OF DISPENSING OPTICIANS
290 CONSTITUTION DR • LAFAYETTE, LA 70503-6324
Be sure to include your LADO Certificate Number (or New Member) on the memo part of the check.

Contributions to the Louisiana Association of Dispensing Opticians are not deductible as charitable contributions for federal income tax purposes.  They are deductible as an ordinary and necessary business expense, except that portion attributed to lobbying.  LADO estimates that 9% of your dues is attributable to lobbying and therefore, not deductible.