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OPTICAL BENEFIT FORM - C.F. Sharp Group

TO: Executive OPTICAL Inc. Love your Eyes . Branch: _____. For additional inquiries: OPTICAL BENEFIT form . Name of Employee Company/ Position Direct Superior Residence Maximum Purchase Limit No maximum limit Contact Details/ Email Address Name of Dependent form valid until (7 days from date of issuance). Authorize signatory Name and Position Name and Position Availment should only be in all EO Branches Items availed through Branch Referral System will be at 20% discount for any House Brand items. Prescriptive Lenses / CEG, Sunglasses ( House Brands). CONDITIONS: Discount not applicable to contact lenses, accessories and solution BENEFIT is transferable to dependents Not in conjunction with any EO promotions DISCLAIMER: OPTICAL branch availments shall be at 20% Discount on Suggested Retail Price (SRP) payable within sixty days (90) days from the transaction.

TO: Executive Optical Inc. “Love your Eyes” Branch: _____ For additional inquiries: EO Corporate Accounts Department Help desk: corpaccount2@eo-executiveoptical.com

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