Heart of America Eye Care Congress - Individual Registration

Note 1: If you navigate away from this page without saving, all information entered into the form may be lost.

Note 2: Unless the registration process is completed, application data is only temporarily stored and will be cleared after 30 minutes of inactivity.

Type:
Prefix:
First Name:
Last Name:
First or Nickname for Badge:
ARBO OE Number:	Can't remember? Click here to look it up.
Practice:
Title:
	I am an AOA Member (American Optometric Association). Yes No I desire ABO (American Board of Opticianry) certification?: Yes No Paras Only To receive ABO certificates you must register by Jan. 15. ABO Certificate Fee: $50.00

	I require CEE(TQ) for my state license renewal?: Yes No I have an Illinois state license: Yes No I have a Florida state license. Yes No
State License Number:

Address:
Address2:
City:
State:
Zip:
Phone:
Mobile:
	New! Please check this box if you would like to receive text notifications during the Eye Care Congress, including last-minute schedule changes, event updates and more. The Heart will only send texts during the Congress and will not share this information with any 3rd party. Yes No
Fax:
Email:	(All registration emails for this individual will be sent to this address.)
Confirm Email:
	Do you give the Heart permission to share your email address with Heart Exhibitors and Sponsors to be used strictly for the 2019 HOAECC Congress? Yes No
	Policy for Use of Imagery and Other Digital Media
Where did you hear about HOAECC?
Other:
How many years have you attended the Congress (including 2020 HOAECC)?

School:
Graduation Year:

Q: Do I need to check the “I Require ABO Credit” box on registration?

A: Only check the box if you are currently ABO certified and require the hours to maintain your certification.

Q: How do I know if I require ABO approved hours?

A: You will only need ABO approved courses if you currently have ABO certification, which is only awarded after you’ve passed the ABO exam.

Q: How many hours do I need to maintain my ABO certification?

A: For ABO renewal, you will require 12 ABO approved hours in a 3-year period.

For more information, please visit the ABO website:

http://www.abo-ncle.org

We have made special arrangements to provide Continuing Education with Examination – CEE. These select courses are provided for doctors who need CEE hours to fulfill their CE requirement. The UMSL College of Optometry will mail out the CEE tests (allow 45 days) after the meeting along with a separate bill to cover the cost of issuing and grading the tests.

Notice: You have 30:00 minutes left in your session. This means that any data entered into this form and not saved by moving on to another step in the process will be lost. So, please, save your work.

Registrant Information

Lunch & Learn

Guest Information

ARBO OE Number:
First Name:
Last Name:

February 14-16, 2020 Sheraton Crown Center Kansas City, Missouri

Notice: You have 30:00 minutes left in your session. This means that any data entered into this form and not saved by moving on to another step in the process will be lost. So, please, save your work.

Registrant Information

Lunch & Learn

Guest Information

February 14-16, 2020
Sheraton Crown Center
Kansas City, Missouri