• Event/Materials/Giveaways Request Form

  • Client Event Information

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  • NOTE: Setup time is 1 hour prior to start time unless indicated differently in the notes field.  

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  • REMINDER:  If original event requests is urgent or requires revision please forward update via email to Rachel DeNoble, rachel.denoble@versanthealth.com and include original Jotform or Jotform ID number with updated information.

     

  • Shipping Information

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  • Upload a File
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  • Documentation Materials

  • Upload a File
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  • REMINDER:  Attach "OE Flyer" and or "Summary Brochure" if applicable.

  • Reminder: If the member or provider materials request is urgent or requires a revision to the request details (quanity, shipping address, etc...), email docrequest@versanthealth.com with the RT TICKET number you received via email from the original submission. (example is [davisvision.com #XXXXXX] 

  • Giveaways

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  • Reminder: If original giveaways request is urgent or requires a revison email change to denise.gorgoni@davisvision.com.

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  • Upload a File
    Cancelof
  • Reminder: If the eye health articles request is urgent or requires a revision to the request details (quanity, shipping address, etc...), email docrequest@davisvision.com with the RT TICKET number you received via email from the original submission. (example is [davisvision.com #XXXXXX]

    If there is a revision or change needed to the eye health articles themselves, contact Marketing.

     

     

  • NOTE:  You will receive a "Thank You" email with confirmation of your submission. If you do not recieve this confirmation, please contact Rachel DeNoble, rachel.denoble@versanthealth.com

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