Seminar Registration
To register for one of our “Low Vision Care. . . “What’s It All About?” seminars, please complete the form below. Required fields are indicated with an asterisk (*). Filling out the form will hold a seat for you for three days at the seminar location of your choice.

To complete the reservation process and guarantee a confirmed seat, please call our toll free number 800-487-5389 to arrange payment for the seminar. We accept VISA, MasterCard or checks.

Thank you for registering for our seminar!
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Full name*
Title
E-mail Address
Name of Practice/Business
Street Address*
City*
State* ZIP*
Phone Number*
Location / Date of Seminar*
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