<A HREF="http://www.dryeyeshop.com" TITLE="The Dry Eye Shop"><IMG SRC="https://store.nexternal.com/tdec/des_logo_200.gif" ALT="The Dry Eye Shop" NAME="The Dry Eye Shop" BORDER=0></A><BR> <H1>Dry Eye Yellow Pages Dr. Listing (12 months) -- The Dry Eye Shop Shopping Cart</H1> <B>$75.00</B> -- <I>DEYP 12-month physician listing. Please click then SCROLL DOWN for detailed directions.</I> <P> <IMG SRC="https://store.nexternal.com/tdec/images/DEYP%20Logo.jpg" ALIGN=right ALT="Dry Eye Yellow Pages Dr. Listing (12 months)" NAME="Dry Eye Yellow Pages Dr. Listing (12 months)" BORDER=0 HSPACE=10> <font size="3"><b><font face="Verdana"><font color="#4040FF">DRY EYE YELLOW PAGES Physician Listings</font></font></b></font><div><br /></div> <div><b><font size="2"><font face="Arial">Who can join?</font></font></b></div> <div><font size="2"><font face="Arial"><br /></font></font></div> <div><font size="2"><font face="Arial">We want to help dry eye patients find doctors who are truly interested in this complex and challenging disease. We run our Dry Eye Yellow Pages physician listings on the honor system: it is open to anyone who truly welcomes dry eye patients.</font></font></div> <div><font size="2"><font face="Arial"><br /></font></font></div> <div><b><font size="2"><font face="Arial">Directions</font></font></b></div> <div><b><font size="2"><font face="Arial"><br /></font></font></b></div> <div><font face="Arial" size="3"><span style="font-size: 13px;">Click on the ENTER COUPON button and type on 0901 (this eliminates any shipping charge).</span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;">Complete questions 1a through 2e.&#160;</span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font size="2"><font><font face="Arial">Complete the following questions</font></font><font face="Arial">. Feel free to be brief. We have a 150 word maximum per question.</font></font></div> <div><font size="2"><font face="Arial"><br /></font></font></div> <div><font size="2"><font><font face="Arial">3a</font></font><font face="Arial">:&#160;</font></font><font size="4"><span style="font-size: 16px;"><font size="2"><font face="Arial">What is the most frequent cause of dry eye amongst patients you have treated?</font></font></span></font> </div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font size="3"><span style="font-size: 13px;"><font size="2"><font size="2"><font><font face="Arial">3b</font></font><font face="Arial">:&#160;</font></font></font><font size="4"><span style="font-size: 16px;"><font size="3"><span style="font-size: 12px;"><font size="2"><font size="2"><font face="Arial">What advice do you most frequently find yourself giving to dry eye patients?</font></font></font></span></font></span></font><font size="2"><font size="2"><font face="Arial"> </font></font></font></span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font size="2"><font size="2"><font face="Arial">3c:&#160;</font></font></font><font size="4"><span style="font-size: 16px;"><font size="2"><font size="2"><font face="Arial">Do you have a dry eye &#8220;hot button&#8221; &#8211; for example, is there a condition you feel is often overlooked or misdiagnosed, or a treatment you feel is sometimes used inappropriately?</font></font></font></span></font><font size="2"><font size="2"><font face="Arial"> </font></font></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font size="2"><font size="2"><font face="Arial">3d:&#160;</font></font></font><font size="4"><span style="font-size: 16px;"><font size="2"><font size="2"><font face="Arial">What makes you exceptionally well qualified to help dry eye patients?</font></font></font></span></font><font size="2"><font size="2"><font face="Arial"> </font></font></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font size="2"><font size="2"><font face="Arial">3e:&#160;</font></font></font><font size="4"><span style="font-size: 16px;"><font size="2"><font size="2"><font face="Arial">What are some of your favorite products for dry eye (Rx, OTC, plugs, lid hygiene, other)?</font></font></font></span></font> </div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font face="Arial" size="3"><font size="3"><span style="font-size: 13px;">4</span></font><span style="font-size: 13px;">. Question 4 is where you may share additional information - either via this form, or via fax or email separately - of up to 500 words, for an additional $50 charge.</span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;">OPTIONAL: For an additional $50 charge, you may use Item 4 to share up to 500 words of additional information you think may be helpful.</span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;">When all your answers are complete, go to "Check out" to complete your submission. The checkout process is like any other internet store and you will receive an email confirmation.</span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;"><br /></span></font></div> <div><font face="Arial" size="3"><span style="font-size: 13px;">When your listing has been posted, you will receive an additional email confirmation with a link to the page where your listing shows. If we have any questions we will contact you before posting the listing. If you need to make any corrections, just let us know.</span></font></div> </P> <P> <LI>I have been certified by:: American Board of Ophthalmology; American Board of Optometry; Other (please explain in customer notes)<LI>Export: No </P> <BR clear=left><BR><P><A HREF="http://www.nexternal.com/tdec" TITLE="The Dry Eye Shop Products">The Dry Eye Shop Products</A></P> <BR clear=left><BR><BR><BR><BR> <BR><A HREF="http://www.dryeyeshop.com">Dry eye products</A> <BR>The Dry Eye Shop Online Store powered by Nexternal <A HREF="http://www.nexternal.com" TITLE="shopping cart software">shopping cart software</A>
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