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Toledo Optical and Shamir Insight Inc.
present
The Select National Marketing Plan
In order to participate in this exclusive program, print out and return this completed form to Toledo Optical Laboratory.
Your practice must be registered in order to participate. There is a ten (10) pair per month minumum to qualify for the promotion. This program is currently in effect and will end December 31, 2002.
Please choose one of the following options:
1. _____ Credit account $12.00
2. _____ Credit account $7.00 and send $5.00 to optical manager to distribute.
3. _____ Credit account $5.00 and send $7.00 to optical manager to distribute.
Account Name:______________________________________________________________
Date:_________
Address:___________________________________________________________________________________
Authorized Signature:________________________________________________________________________
Print Name:________________________________________________________________________________
Tax ID#:___________________________________________________________________________________
Eligible Products
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19mm fitting height |
Plastic
CR-39
Next Generation Transitions (Gray and Brown)
Hi-Index Super-Lite™ 1.6
Hi-Index Super-Light™ 1.67
Polycarbonate
Glass
Clear 1.6
Photo Gray Extra
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16mm fitting height |
Plastic
CR-39
Next Generation Transitions Gray and Brown
Super-Lite 1.6 (Available Winter 2002)
Glass
Thin & Dark
Clear 1.6
We thank you in advance for your support of this promotion. Please return this form to Jeff Szymanski's attention or fax to 800-686-5367 or 419-321-6361.
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