OPTOPLUS Referral Program

A program that gives you MORE!

Refer your loved ones to OPTOPLUS and they will automatically receive a gift certificate valued at $50^*, applicable to a number of products at our clinic.

This kind gesture:

• Shows your loved ones you care about their health
• Helps a local clinic in your community
• Gives you the chance to win a gift certificate valued at $1000^†.

The more friends and family you refer, the greater your chances of taking home the $1000 gift certificate from our draw.

PLEASE ENTER YOUR DETAILS:

If you win our monthly draw, we want to let you know.

First name:

Surname:

Email:

My OPTOPLUS clinic:

I’D LIKE TO REFER MY TRUSTED CLINIC TO:

The name of the person who will receive a $50 gift certificate^‡.

First name:

Surname:

Email:

Mathematical skill-testing question

(100-25) x 2 =

I agree to the terms & conditions of “PUT YOUR TRUST IN OPTOPLUS”

I accept to receive OPTOPLUS news and promotional offers by email.

Consent and declaration*

I declare that all the information provided in this form are true, complete and accurate and I agree to send my personal information for the processing of my request. See our privacy policy for more information on how we collect and process data.

*Limit of one gift certificate per purchase/individual. Discount is not applicable to professional fees or existing promotions. Cannot be redeemed for cash or credit. Gift certificate is only valid for new clients not already in the OPTOPLUS database.

†Limit of one gift certificate per purchase/individual. Discount is not applicable to professional fees or promotions. Cannot be redeemed for cash or credit. Gift certificate is only valid for clients who are already in OPTOPLUS existing database.

‡ The information collected in this form will be used only to communicate its gift certificate. The information will not be used for promotional purposes, advertising or otherwise.

Eastern Townships

Centre-du-Québec

Chaudière-Appalaches

Lac Saint-Jean

Lanaudière

Mauricie

Montérégie

Montreal

Montreal (Ville-Marie)

Montreal

Outaouais

Quebec

North Shore

Eastern Townships

Centre-du-Québec

Chaudière-Appalaches

Lac Saint-Jean

Lanaudière

Mauricie

Montérégie

Montreal

Montreal (Ville-Marie)

Montreal

Outaouais

Quebec

North Shore

OPTOPLUS Referral Program

A program that gives you MORE!

PLEASE ENTER YOUR DETAILS:

I’D LIKE TO REFER MY TRUSTED CLINIC TO:

Mathematical skill-testing question

Products

Vision Problems

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Eye Exam

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Referral Program

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Eastern Townships

Centre-du-Québec

Chaudière-Appalaches

Lac Saint-Jean

Lanaudière

Mauricie

Montérégie

Montreal

Montreal (Ville-Marie)

Montreal

Outaouais

Quebec

North Shore

Eastern Townships

Centre-du-Québec

Chaudière-Appalaches

Lac Saint-Jean

Lanaudière

Mauricie

Montérégie

Montreal

Montreal (Ville-Marie)

Montreal

Outaouais

Quebec

North Shore

OPTOPLUS Referral Program

A program that gives you MORE!

PLEASE ENTER YOUR DETAILS:

I’D LIKE TO REFER MY TRUSTED CLINIC TO:

Mathematical skill-testing question

Products

Vision Problems

Services

Eye Exam Eye Health Referral Program

About

Follow Us

Our Clinics

Eye Exam

Eye Health

Referral Program