Vendor Form

Company name
City and State
Representative name
Title
Office Phone Number
Cell Phone Number
Email
Product name
Product description
List two competitors to your product
Pricing Structure (check all that apply)
- Purchase
- Lease
- Rental
- Service fee
Retail Product Cost
Until which date is the discount available
MM slash DD slash YYYY
Pricing structure
Discounted Product Costs
Is the discount ongoing or one time?
Will this produce revenue for the practice?
Will this product/service save money for the practice?
Please describe how the product produces revenue or savings
Notes to the practice from the representative
Thank you for your submission. We will get back to you via email or phone call in the next 5 business days. Please do not call our office until you receive a disposition on our interest level.
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Reviews

Dr. Jones was really nice! And the man that I ordered my glasses with was very informed!

3 days ago

- Sue C.

I came back here after moving to a different area. I tried another optometrist but it didn't compare. I'm glad I came back. I was able to make a same day appointment. Staff was friendly and service was fast. I went through a few pairs and finally found the one I liked with thier help. Definitely will be coming back. This place is also family friendly.

4 days ago

- Mariah M.

Vendor Form

YESnick Vision Center

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