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Order an Optical Assistant Training DVD

Complete the form below and submit it if you would like to order a Training DVD. You will receive a booklet to go with the DVD and you can order up to 2 extra copies of this booklet for your practice.

Fields marked with * are mandatory.

Please send me an Optical Assistant Training DVD and booklet(s).
First Name*
Last Name*
Practice Name
CIBA VISION Account Number*
Post code*
Telephone*
Email Address*
I would also like to register for:
Contacts In Practice Newsletter Information about symposia & other meetings Information about CIBA VISION Products

By sending this data to CIBA VISION you agree to this use of your personal data. When you register for the above, you will need to provide us with certain data which enables us to identify you, such as your name, address, email address (your “Personal Data”). The use of Personal Data in the UK is governed by the Data Protection Act 1998 and, as Data Controller, our use of your Personal Data is subject to the provisions of this Act. If you choose to withhold any personal data requested by us, it may not be possible for us to provide you with the service requested. We will only pass your Personal Data to appointed agents of CIBA VISION who handle or process data on our behalf relating to the purposes outlined above. CIBA VISION will not sell or disclose your Personal Data to any other third parties for any purpose.

By ticking any of the boxes above and submitting your data, you confirm that CIBA VISION may process your personal data for the specific and limited purposes indicated by the box.

* I agree to the terms of the CIBA VISION Privacy Policies.

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