Silhouette Perks

Thank you for providing your patients with an exceptional vision experience by creating Silhouette Moments. Please sign up to participate in Silhouette Perks, our new incentive program for dispensing opticians. At the end of each month, you will receive a notification with the perks earned. Perks are split equally among all participating team members under the same Silhouette account number.

Your name *

First Name

Last Name

Your contact information *

We are asking for your personal information so that the Silhouette Perks can be sent directly to you and will arrive as fast as possible after the end of the month.

Your cell phone no.

Your personal email

Your Account Number *

For program details see www.silhouetteperks.com

Yes, I want to participate in Silhouette Perks, I consent to receiving notifications about this program by text message and/or email and I confirm that the owner of my practice has agreed to me participating in Silhouette Perks.