2018 Membership Application Our members support original scholarship in optometry history and the identification of people and places significant to the development of the profession. The OHS also encourages the preservation and use of archival and museum collec- tions that make this research and recognition possible. It is because of the support of members of the OHS that we are able to produce publications and educational events that highlight the important role understanding the past plays in charting the future of the profession. Yes! I want to join the Optometric Historical Society! □ Free AOSA student members /residents (includes subscription to online issues of Hindsight) □ $35.00 Regular Membership (includes subscription to online issues of Hindsight) □ $60.00 Sustaining Membership (includes subscription to online and print issues of Hindsight) □ NA I am a Lifetime Member of the OHS and I will access Hindsight online □ $25.00 I am a Lifetime Member of the OHS and I want a print copy of Hindsight □ $500.00 Scholars Membership (includes all benefits of Sustaining Membership plus annual recognition in HINDSIGHT, Optometry Cares® – The AOA Foundation’s annual report and website, and invitation to an exclusive donor’s reception at Optometry’s Meeting®) $ Additional donation to support The Archives & Museum of Optometry. Your financial contribution ensures the maintenance of collections that support the mission of the OHS. TOTAL: $ ALL MEMBERSHIP DUES AND DONATIONS ARE TAX DEDUCTIBLE Title: First Name: Last Name: Suffix: Company/School/Practice: Address: City State: Zip: Email: IP Address/Range (FOR INSTITUTIONS ONLY): Payment Method □ A check is enclosed □ Paid Online at www.aoafoundation.org □ Charge my credit card for the amount indicated above. Credit Card Number: Expiration Date: Card Type: MASTERCARD VISA AMERICAN EXPRESS Name on Card: 3- or 4-Digit Code: Signature: Date: 243 N. Lindbergh Blvd. St. Louis, Missouri 63141 - (800) 365-2219 ext. 4136 - foundation@aoa.org - www.aoafoundation.org Collect • More than 10,000 photographs, prints, negatives, slides, film and video-recordings • Thousands of ophthalmic instruments, devices, objets d’art and pieces of ephemera • Rare books, historic periodicals, unique manuscripts and records, and audio-recordings PROTECT YOUR LEGACY Preserve • 1,800 square feet of secure, climate controlled storage space • Trained staff provide preservation assessment, monitoring, treatment and housing • Conservation and preservation projects prioritize at-risk and high-value materials Share • Computer catalog and finding aids increase accessibility to collections • Public and private exhibits promote the profession of optometry and vision science • Digital access to frequently used materials encourages research and scholarship Donate now! aoa.foundation.org THE MISSION OF THE OPTOMETRIC HISTORICAL SOCIETY Protect and promote the historical legacy of the profession of optometry. THE MISSION OF THE ARCHIVES & MUSEUM OF OPTOMETRY Collect, preserve, interpret and make available for research archival resources and museum objects that document the history of the profession of optometry as a clinical practice, academic discipline, and a health science. 243 N. Lindbergh Blvd., Floor 1 St. Louis, MO 63141 800.365.2219, ext. 4200 Phone: 314.983.4200 | Fax: 314.991.4101 foundation@aoa.org aoafoundation.org is a program of Hindsight_49_3_no_bleed_Final 30 Hindsight_49_3_no_bleed_Final 31 Hindsight_49_3_no_bleed_Final 32