IALVS Member Login

Lead Entry Form
Lead Entry Form
*Note - It is helpful if you write your information in Case Sensitive. Don't use all caps or all lowercase.
Prospect Info
Preferred Method of Communication
Email
Mail
Prospect Contact Information
United States
Canada
Enroll in Ground Mail Marketing? ($10 Fee per Click2Mail Campaign)
Prospect Interaction
Follow Up Regarding
Bioptics
Full Diameter
Prismatic
Scoop
ClearImage
Vitamins
Lamps
Reading Glasses