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Here at Review of Optometry we take your privacy seriously and will only use your personal information to administer your subscription account and to provide the products and services you have requested from us. Your data will be securely managed in accordance with the EU General Data Protection Regulation and our Privacy Policy.

Check Your Subscription Term:

	United States	Canada/Mexico	International
1 Year (12 issues)	$56.00	$88.00	$209.00
2 Years (24 issues)	$97.00	$160.00	$299.00
3 Years (36 issues)	$135.00	$212.00	$369.00

All prices are in U.S. dollars and include shipping and handling.

Business Profile:

Please check if you are:

What is your age?

Years In Practice:

Please check your professional/business status:*

If Other, please specify

If Optometric Student, please check year of school

Which of the following do you buy, specify or influence the purchase of: (check ALL that apply)

22 - Spectacle Lenses/Frames
23 - Instruments & Equipment
24 - Contact Lenses-Solutions
25 - Pharmaceuticals

How many of the following do you prescribe/dispense in an average week? (Please provide #):
Ophthalmic Lenses

Contact Lenses

Rx Prescriptions

What is the approximate annual sales volume at your business?

Please provide your NPI #:

Do you currently co-manage surgical patients?

YesNo

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