(student/college, faculty, committee, member)
What is the purpose of your survey/project?
How will the results of this survey/project benefit the membership or the association?
How do you propose the survey/project results be published? (A copy of the survey/project results is required to be submitted to the MOA prior to publication.)
How does this survey contribute to the MOA Mission Statement?
Method of survey/project distribution (please check.)
Mail $50 For MOA Labels
(Surveyor responsible for printing and mailing survey.)
MOA Exhibit Booth - Fall/Winter/Summer
The Michigan Optometrist magazine
Survey/project distribution date:
Survey/project submission deadline date:
- denotes required fields
TCS Software, Inc.