2020 : THE YEAR
OF VISION

Join us at our Great Gatsby themed
weekend events with decor and attire
inspired by the roaring 20’s!

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
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**If you attend less than 10 hours of lecture, your fee will be based upon a rate of $49.00 per hour of attendance. If you attend 10 or more hours, the fee will be $495.00

Gala Registration:
Roaring 20's Dothan Country Club
I will attend the gala*
- Yes
- No
My guest will be attending the gala*
- Yes
- No
If yes, Guest's Name:*
Dietary Restrictions:*
- Vegetarian
- Gluten-Free
- Vegan
Spouse/Guest Brunch or Golf Registration*
- My spouse/guest will attend spa.
- My spouse/guest will attend golf.
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**If you prefer to mail your registration in, click here to download this form
Please mail back to:
Eye Education Foundation, Attn: Katie Woodham
2800 Ross Clark Circle, Ste 1, Dothan, AL 36301
Registration Fee