This program now features the opportunity to receive up to $200* per referral (for a limited time)*!
Our NEW & IMPROVED Share the Vision Program provides a reward for spreading the good word about The LASIK Vision Institute.™
1. Complete the below form with the referral’s and referrer’s contact information.
2. For each referred friend or relative who has laser vision correction with us, we’ll send the referrer a thank you check: $50 for the first referral...$75 for the second referral...and $200 for every additional referral — NO LIMIT!
*$50 for the first, $75 for the second, & $200 for your third and every additional person you refer who has laser vision correction performed by The LASIK Vision Institute by February 29, 2012. Promotion not available in CA, FL, TN or WI.
To PRINT Referral Reward Cards, click here.
| Your Information: | |
| First Name | |
| Last Name | |
| Phone | |
| Your Surgery Location |
Promotion not available in CA, FL, TN, or WI. |
| Your Surgery Date | i.e., 00/00/00 (mm/dd/yr) |
| Your Patient ID# | i.e., 012-3456789 |
|
The Person Who Referred You: |
|
| Referrer's First Name | |
| Referrer's Last Name | |
| Phone | |
| Address | |
| City | |
| State | |
| Zip Code | |
| Promotion not available in CA, FL, TN, or WI. | |
|
Contact rewards@lasikvisioninstitute.com for additional information. |
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