IEOC New & Lapsed Member Application

Thank you for your interest in joining the International Equine Ophthalmology Consortium! In order to join the IEOC as a new or lapsed member, please complete this application below for review. [Note: A lapsed member is one renewing who was not current on dues in 2023.]

Please allow ten (10) business days for review and notification. If membership is approved, a dues link will be emailed to your email provided in this form, and must be completed, with payment, to finalize membership. Regular Members will be charged a rate of $150/year and confirmed Trainee Members will be $90/year. Forms submitted after mid-January may be returned late enough that dues could incur the $50 late fee by February 1st; please be aware of the turnaround time.

Dues forms received without prior approval will not be recognized as official members and refunds may not be available.

This dues cycle will be for January 1, 2024 - December 31, 2024. For questions contact the office at +1.208.466.2519 or office@equineophtho.com

Dues and applications for 2024 will be open November 15, 2023 - May 31, 2024, with renewals incurring a late fee of $50USD starting February 1st, 2024. Dues applications will then close and reopen for the 2025 dues year in November, 2024.

Name: Name: * First Last

Email: *

Alternate Email:

Completed Credentials (e.g. DVM, DACVO, etc.): *

I would like to join the IEOC as a: *

I would like to join the IEOC as a: Regular Member Trainee Member

Are you currently a DACVO, DECVO, an ABVO Resident, or an ECVO Resident? *

Are you currently a DACVO, DECVO, an ABVO Resident, or an ECVO Resident? DACVO/DECVO ABVO/ECVO Resident No

Please provide a brief CV/Biography for application review: *

Attach Files

Please provide a confirmation letter from your mentor: *

Attach Files

Company/Institution: *

Address: Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

By checking this box I am 'signing' this online new member application/dues form and giving permission to the IEOC to contact me at the contact information I provided above, regarding IEOC related matters. *

By checking this box I am 'signing' this online new member application/dues form and giving permission to the IEOC to contact me at the contact information I provided above, regarding IEOC related matters. Agree

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