COECSA Membership Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name *SurnameEmail *Affiliated Hospital or institution Billing address *Town or city *Country or region *Postcode or Zip code *Country *COECSA Membership Eligibility *Full member - I am an Ophthalmologist registered to practice in Eastern, Central, and Southern Africa and that has duly registered with their national ophthalmological societies.Associate member - I am a medical practitioner training to become an Ophthalmologist or interested in Ophthalmology, Ophthalmic Clinical Officers, Ophthalmic Nurses, Optometrists, Orthoptists and Opticians, and any other persons deemed qualified by the Council and having duly registered with their local ophthalmological societies.Membership Category *Full Member - $50.00 annual membership feeAssociate - $30.00 annual membership feeI confirm I have made the correct payment for my COECSA membership *I confirm I have made the correct payment for my COECA membershipSubmit COECSA Membership Payment Link Please follow the correct payment link to complete your COECSA membership. 2nd Early Bird (until 31st April) COECSA Member Annual Fee $50 Associate COECSA Member Annual Fee $30
