Preferred Provider

Become a Perfas Preferred Provider &
Enhance Your Professional Image

The Perfas Preferred Provider program lets your patients know you are committed to uncompromising quality and patient satisfaction. It also assists you in your sales efforts by providing co-op advertising and merchandising support, and rewards those efforts with a program that lets you earn valuable merchandise. To become a Perfas Preferred Provider, you must have a Pentax account in good standing and a valid e-mail address and web access, as most of the merchandising and information for the program is web-based.

Preferred Provider Program Benefits:

	Loyalty Rewards Program Select from over 3,000 item and redeem your points for purchases.
	Merchandising Materials Window sticker, literature pocket, dispensing mat.
	Coop Advertising Coop Advertising Program helps you build your business by assisting with advertising costs.
	Free Fits Get one free pair of Perfas lenses and a Seiko frame after you purchase 5 pairs.

Please note, it may take a few days before you points account is validated. If you don't have a current Seiko Optical Products of America account number, you cannot join the program. Please contact Seiko Optical Customer Service to open an account.
Person filling out the form should be the business owner, as there may be tax consequences of participating in the program.
To avoid unnecessary delays, please enter the full, correct information, including your first and last name.

Please fill in the information below. All fields are required

Seiko Optical Account Number
Practice Name
Address
City
State	Zip:
Your Full Name (First, Last)
E-Mail Address
Telephone Number

Clicking submit signifies your acceptance of the program terms & conditions

Become a Perfas Preferred Provider & Enhance Your Professional Image

Preferred Provider Program Benefits:

Become a Perfas Preferred Provider &
Enhance Your Professional Image