2007 Eyekon Online Brochure Click Here
EyeKon's Natural Tinted Lens™ Document Click Here

 




Our products may be obtained from a distributor serving your geographic area. To find a distributor serving your area contact:

CUSTOMER SERVICE DEPARTMENT

727-793-0170

Our personnel are skilled professionals who can assist you with any question you may have.


Distributor
Request Form


Please fill out this form in its entirety.
A representative will contact you following its receipt.
You may call 727-793-0170 (USA) to speak to an EyeKon Customer Service Representative.

CURRENT DISTRIBUTORS

If you are a current distributor and have any
question regarding your account, please call the
Customer Service Department at 727-793-0170 and talk to our Credit Department representative.

FUTURE DISTRIBUTORS

If you are interested in becoming a distributor
of EyeKon, please fill out our online
DISTRIBUTOR REQUEST FORM, below.

 
Date:
Company Name:
Address:
City | State | ZIP:
Country: 
   
   
Contact First Name:
Contact Last Name:
Title:
Phone:
Fax:
E-mail:
   
Type of Business: If "Other," please specify:
Current Co. Represented

Acrylic
MonthlyVolume:
Acrylic Disposable Injector
Monthly Volume:
PMMA
Monthly Volume:
Viscoelastics
Monthly Volume:
 
  Comments:


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