Earinc/Insta-Mold - Group Fittings

Group Fittings

HEARING AIDS AND/OR EAR PROTECTION INQUIRIES FOR LARGE GROUPS
(INDUSTRIAL, RECREATIONAL, LAW ENFORCEMENT, MUSIC, GOVERNMENT, ETC).

E.A.R., Inc.'s (2000 + providers) are now able to provide large membership groups and industrial accounts with benefits that include cost containment for hearing aids, specialized hearing protection systems and free hearing tests. For more information fill out the form below.

PRICING FOR INDUSTRIAL OR LARGE MEMBERSHIP INQUIRIES SHOULD E-MAIL THEIR INQUIRIES TO GARRY GORDON, garry@earinc.com.

Group Fittings
Date:
First Name:
Last Name:
Name of Company or Membership Group:
Address:
City:
State:/Prov.:
Country:
Zip:
E-mail:
Phone Number:
IS YOUR COMPANY OR MEMBERSHIP CURRENTLY COVERED BY A COST CONTAINMENT PROGRAM?	Yes: No:
If yes (WHO?)
I would like information regarding the following products and services:
Hearing aids	Custom Ear Protection
Free Hearing Tests:	Other:
NUMBER OF PEOPLE TO BE COVERED:
NUMBER OF LOCATIONS:

Enter the code above in this blank