EZ Rimless Registration

wmode="transparent"

Registration Form For VEW Workshops

Learn valuable tips and tricks from industry experts to make dispensing easier.

These free sessions will take place at Santinelli's Vision Expo West Booth #4055

Sign up Today! Space is Limited!

Attendee Name:*

Company:*

Address:*

City:*

State:*

Zip Code:*

Phone Number (xxx)xxx-xxxx:*

Email Address:*

1) Type of Practice:*

a) What is your current position?:*

2) Are you currently edging in house? :*

a) If yes, which make and model?:

b) How many jobs per day do you dispense and/or edge?:*

3) How did you hear about these workshops?:*

4) Please indicate your preferred time slot (place x in time slot).

Rimless Workshop
Thursday (10/7/10)

Lindberg Workshop
Friday (10/8/10)

Rimless Workshop
Saturday (10/9/10)

Nidek