Strongly focused on optical retailing, Eyecare Business shows dispensers how to purchase, price, position and present eyewear to succeed in the market. The recipient of editorial and design awards from FOLIO Magazine, and design/printing Gold Ink Awards.

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Business / Industry
First Name
Last Name
Job Title
Company Name
Department / Mail Stop
Street Address
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QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Eyecare Business will be sent to those applicants who qualify. The publisher reserves the right to limit the number of subscriptions accepted.

1.	I wish to receive Eyecare Business magazine FREE of charge.

Yes!

NOTE: In order to be considered for a subscription to Eyecare Business, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Eyecare Business.

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

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

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

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

Finishing (edging)

Casting

Surfacing

None

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

Yes

7.	Do you fit contact lenses?

Yes

8.	In order to verify your request for this publication, without the availability of a signature, our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request. In what state/province were you born?

If you selected Outside of U.S. or Canada, please specify:

9.	May we contact you via email?

Yes

10.	May we contact you via fax?

Yes

11.	May we contact you via email on behalf of ophthalmic industry suppliers on topics pertinent to you?

Yes

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