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!

NOTE: Referred person must complete their procedure prior to submitting this form in order to process your payment. If the referred person has not completed their procedure yet, please wait until after their procedure is complete to submit this form.

*$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 March 31, 2017.

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

Your State *

Promotion not available in
CA, FL, LA, NC, NE, NJ,
NM, NY, RI, TN, or WI.

 

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

NOTE: Referred person must complete their procedure prior to submitting this form in order to process your payment. If the referred person has not completed their procedure yet, please wait until after their procedure is complete to submit this form.

Referral’s Procedure Location *

Promotion not available in
CA, FL, LA, NC, NE, NJ,
NM, NY, RI, 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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