Below is a sample of the emails you can expect to receive when signed up to MacuHealth.
Hi Mia Williams.
Thanks for your email.
We'll get get back to you as soon as possible!
Here's a summary of your message:
------------------------
Let us know how to get back to you
First name
Phone
Company
Address
City
Zip / Postal Code
License #
Last name
Email Address
Website
State / Prov
Country
License Type
Remarks
How did you hear about us
Data Name | Data Type | Options |
---|---|---|
Your Details Let us know how to get back to you * | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Text Box | ||
Home address | Text Box | |
City | Text Box | |
State | Text Box | |
Postcode | Text Box | |
option | Your Details Let us know how to get back to you * | |
option | ||
phone | ||
dropdown | - Select Province/State - | |
dropdown | - Select Province/State - | |
dropdown | - Select Province/State - |