The LASIK Vision Institute: Referral Rewards Program

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 December 31, 2013.

Your Information:
Full name and mailing address are needed for reward payment and delivery.

Your State *

Promotion not available in
CA, FL, NC, NJ, NY, TN, or WI.

 

Who Did You Refer:
Full name and phone are needed for reward payment and delivery.

Referral’s Surgery Location *

Promotion not available in
CA, FL, NC, NJ, NY, TN, or WI.

For any questions, Please call the Referral Rewards Center at 866-580-5179
or Email rewards@lasikvisioninstitute.com for additional information.

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