Gordon Binder Weiss Vision Institute
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Gift of LASIK with the IntraLase Method™*

Gift of LASIK with the IntraLase Method

Let family and friends know that you want LASIK for a holiday, birthday, anniversary - or just because!

Your name:
Your e-mail address:
Your gender:
     
I would like to send me the Gift of LASIK with the IntraLase Method™*
Gift giver's e-mail address†

Would you like to receive news and updates from Gordon Binder Weiss Vision Institute?


**“An eye exam and/or LASIK Consultation is required before a surgery date can be scheduled.”


*The IntraLase Method can only be performed using the IntraLase® FS laser.

†This e-mail address will not be used for purposes other than to alert the recipient of the Gift of LASIK with the IntraLase Method ™. The e-mail address will not be shared, sold, or exchanged with any other third party company.
©2006 IntraLase Corp. All Rights Reserved. IntraLase is a registered trademark of IntraLase Corp. and the IntraLase Method is a trademark of IntraLase Corp. Mkt Doc 592 Rev. A