Eyecare Business Free Subscription

Complimentary
Magazine

Eyecare Business Shows dispensers how to purchase, price, position and present eyewear to succeed in the market.

Detailed Description

Eyecare Business is complimentary to qualified professionals.

Geographic Eligibility: USA

The publisher determines qualification and reserves the right to limit the number of free subscriptions.

Complete and verifiable information is required in order to qualify for this Magazine.

First Name:
Last Name:
Job Title:
Company Name:
Business Email:
Business Phone:
Business Fax:

Division/Mail Stop:
Street Address:
City:
State/Province:
Postal/ZIP Code:
Country:

Yes, please auto-fill my contact information for other qualification forms.

Your offer confirmation will be sent to your business email address entered above.

Which of the following best describes your industry?

Please Specify for Other:

What is the approximate number of employees in your company?

Do you wish to receive a FREE subscription to Eyecare Business?

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May the publisher contact you via email?

Yes No

May the publisher contact you via email on behalf of ophthalmic industry on topics pertinent to you?

Yes No

May the publisher contact you via fax?

Yes No

Please check the ONE category that best describes your business/professional activity:

Please Specify for Other dispensing optician:

Please Specify for Other optometrist:

Please Specify for Other:

What is the wholesale price range of the majority of the eyeglasses sold at your business?

At your practice, of the spectacle lenses you dispense, what percentage are A/R coated?

8.	What are the lens processing capabilities on-site at your business? (select all that apply)

	Finishing (edging)	Surfacing
	Casting	None

Do you buy, specify, approve or influence the purchase of contact lenses?

Yes No

10.

Do you fit contact lenses?

Yes No

11.

In lieu of a signature, the publisher requires a personal identifier. To verify that you submitted this application please enter below in what state were you born:

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Note that a valid email and physical mailing address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before submitting your information.
The publisher reserves the right to limit the number of complimentary subscriptions and/or reject requests based on information provided.

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