Join or Renew

We appreciate your membership. Please see below for instructions to join or renew your ECLA membership.

New Members

Welcome new members! Please use the below form to complete your on-line membership.

Attention Group Members

Group Memberships must be submitted via paper application. Please download and complete the Membership Application form and and email it to eyes@clao.org for processing.

Membership Types *

Regular - $ 295.00

Physician < 3 yrs in practice - $ 160.00

Associate Member - $ 275.00

Affiliate Member - $ 245.00

Allied Health Member - $ 95.00

Resident - $ 0.00: (dues waived)

Group Member - $595.00 (see notice above)

Please renew my membership automatically.

Total Amount

Email Address *

Name, Suffix and Address

First Name *

Last Name *

First and last name will be shared with other visitors to the site.

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

Your state/province and country of residence will be shared with others so folks can find others in their community.

State (Home)

Street Address (Billing)

City (Billing)

Postal Code (Billing)

Country (Billing)

State (Billing)

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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