Absolutely Optical - Free Offer

Submit a completed survey and receive a $40 credit at Absolutely Optical toward any purchase of $300 or more.
Credits are one per person and cannot be combined with any other promotions, discounts or insurance.

Name
Mailing Address
Street Address
City
State
Zip
Telephone
Fax
E-mail Address

	Do you wear prescription eyeglasses?
	Do you wear prescription sunglasses?
	Do you wear non-prescription sunglasses?
	Do you prefer frames with a designer name?
	Do your glasses reflect your personality/status?
	How often do you replace your eyeglasses?
	How often do you replace your sunglasses?
	How much do you spend on a pair of prescription eyeglasses (including lenses)?
	How much do you spend on a pair of non-prescription sunglasses?
	When was your last eye exam?
	Do you wear contact lenses?
	Do you wear disposable contact lenses?

How did you hear about our company?

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	Friend/Colleague
	Other

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	International Plaza Tampa, Florida (813) 348-9696
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