Pearle Vision LSM Ordering Portal

13 Week (3 Month) plans are recommended.
Plans billed per month.

* Denotes required fields

Product Name

Where are you located?*

United States
Canada

Plan Length*

13 Weeks
8 Weeks

13 Week Plan Options*

13 Weeks (Programmatic Display, Facebook, Acquisition Email, Site Retargeting & Paid Search)
$6,000
$1,500
$1,500
$1,000
$500
$1,500

8 Week Plan Option*

8 Weeks (Programmatic Display, Facebook, Acquisition Email, Site Retargeting & Paid Search)
$4,250
$1,000
$1,000
$1,000
$250
$1,000

Total

$0.00

Currency in USD

Primary Offer*

50% off lenses
40% off lenses
40% off a second pair
40% off a complete pair
Cover the cost of your eye exam
Other

Primary Offer (Canada)*

50% off lenses
40% off lenses
40% off a second pair
40% off a complete pair
Other

Other Offer*

Secondary Offer

For email only, email allows for up to two offers.

50% off lenses
40% off lenses
40% off a second pair
40% off a complete pair
Cover the cost of your eye exam
Other

Other Offer*

Preferred Start Date*

Minimum of 10 business days in advance of submitting order.

Location and Proofing Information

Licensed Owner Name*

ECC Address*

Multiple Locations?

I have an additional EyeCare Center to include

ECC Address*

Email for Art Proof*

ECC Phone number*

Is IDO (Independent Doctor of Optometry)? Disclaimer required in art.*

Yes
No

Choose Your FMM*

Complete Paperwork

New Customers Only

New Customer?*

Yes
No

Customer Paperwork Upload

1. Download/print forms (Form 1 download | Form 2 download)
2. Fill forms with info
3. Scan or take a photo of the forms
4. Upload forms
(You may need to open in Adobe to digitally sign the docs.)

Drop files here or

Max. file size: 16 MB.

Phone

This field is for validation purposes and should be left unchanged.

Local Eyecare Center Marketing

Step 1: Choose a Package Below

Step 2: Fill Out Customer Paperwork

Choose Your Plan

13 Week (3 Month) plans are recommended.
Plans billed per month.

Location and Proofing Information

Complete Paperwork

Local Eyecare Center Marketing

Step 1: Choose a Package Below

Step 2: Fill Out Customer Paperwork

Choose Your Plan

13 Week (3 Month) plans are recommended. Plans billed per month.

Location and Proofing Information

Complete Paperwork

13 Week (3 Month) plans are recommended.
Plans billed per month.