Marketing Materials Order Form and Mentorship Program Sign-Up

Marketing Materials for iSee

This is the order form page for iSee marketing materials as well as the interest list for the practice management mentorship program. Please fill out all the information and we will send you the materials.

Take a look at the inside of the brochure. View Brochure

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Brochure Covers: Mom and Daughter, Boy in Blue Shirt at School

Brochure Covers: Mom and Daughter, Boy in School

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Posters: 'Concerned About Nearsightedness?' 24x36 and 'Are Ortho-K Contact Lenses Right For You?' 18x24

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* 1. Please send the following marketing materials

iSee brochure: 1 pack of each for a total of 50

iSee brochure: 1 pack of 25 "Mom and Daughter"

iSee brochure: 1 pack of 25 "Boy in Blue Shirt"

iSee 'Are Ortho-K contact lenses right for you?' exam room poster 18"x24"

iSee 'Concerned about nearsightedness?' poster 24x36

iSee intake forms (when available)

Other (please specify)

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* 2. Would you like to participate in the ortho-k mentorship program starting in June?

yes, email me information about the program

yes, have someone call me about the program

no, not at this time

Other (please specify)

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* 3. Please provide the following information so we can mail you the marketing materials you request.

Name *

Practice Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

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* 4. Account Number

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* 5. Where did you hear about the iSee marketing materials?

Online Event

Industry Email

GP Specialists Email

Other (please specify)