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Reseller Quote Request

Please complete the information below. Submit this form along with an attached copy of your reseller certificate.

Free shipping is only available for online orders in the continental United States.
Certain exclusions apply. 

Exclusions include, but are not limited, to the following products:

Acuity Systems & Projectors, Chair & Stand Accessories, Autorefractors, Lensmeters, Keratometers, Portable Slit Lamps, Stools, Tables, Tonometers, Trial Lens Sets.