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OWL Wise Wings Program
Please complete this short form to indicate your willingness to become a 'Wise OWL'!
We will reach out to connect you with a newer OWL member shortly.
1.
Please Share your Contact Information
Name
Company
Email Address
Phone
City
State
Country (if OUS)
2.
I am interested in helping newer OWL members to feel welcomed in our community and helping them to become active participants, maximizing the benefits of their OWL membership.
Yes
No
3.
I agree to participate in the Wise Wings program for at least one year.
Yes
No
4.
Do you typically attend the larger ophthalmology meetings such as ASCRS and AAO?
Always
Almost Always
Occasionally
Never