"Our Vision Is To Give You New Vision." "Trust Your Eyes To Experience." Northern California's most experienced laser vision corrective specialtist, Dr. William Ellis of the Ellis Eye and Laser Centers invites you to take our short survey and offers you FREE information about how to rid yourself of glasses and/or contacts, in the form of FREE Seminars, Consultations and videos. Please type your answers into the body of your reply message. Please answer all questions and note the type of information you would like to receive. 1. Do you currently wear glasses or contacts? 2. How long have you worn corrective lenses? 3. Do you have an interest in getting out of glasses or contacts? 4. What activities interest you that are currently inconvenienced by glasses or contacts? 5. Do you wear multifocal lenses? (Bifocals) 6. Are you nearsighted, farsighted, astigmatic or presbyopic (need ifocals)? 7. Check which of the following refractive procedures you've heard about or considered: A) RK B) AK C) HK D) ALK E) PRK F) LASIK Name:Address: City, State Zip Code Work Phone: Home Phone: I have interest in the following: Free Seminars Free Consultations Exam Videos Television Program Information To learn more about advancements in vision correction, Ellis Eye & Laser Centers invites you to our web site. http://207.120.43.144/100130.html ------------------------------------------------------------------------- Ellis Eye & Laser Centers, Inc. respects your online time and Internet privacy. This is a one time only questionaire, your name will be removed from our files. However,if you wish to subscribe and receive future updates and information on our services, you may reply and type SUBSCRIBE in the subject line. Thank you! --------------------------------------------------------------------------