SB Media Promotions | Registration

REGISTRATION

To register for the Optical Assistant and Suppliers Guide simply fill out the form on this page and click the Register button on the bottom of the page. If you have trouble completing or submitting the online form then please use the printable registration sheet available below, scan and email to info@sbmedia.co.za

REMEMBER:
When entering your OP/OD Number, you must enter the full number. Please make sure you enter all characters and leading zeroes. (EG. OP0099999)

OP/OD Number:

Practice Number:

First Name:

Surname:

ID Number:

Telephone:

Cellphone:

Fax Number:

Email Address:

Postal Address:

I agree to receive email and/or SMS communication from SB Media Promotions containing information about Optometric Procedural and Lens Guideline tariffs, Continuing Professional Development (CPD) activities and Marketing promotions from Optometric-related companies.
I am aware that I can unsubscribe from this list at any time.

Proof of humanity:

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Printable Registration Form