Contact Us
<P>If you wish to find out more information about PureVision™ you can contact us on:</P> <P><B>In Australia</B><BR>Bausch & Lomb (Australia) Pty Ltd. <BR>Level 4/113 Wicks Rd <BR>North Ryde Sydney, NSW 2113 <BR>Australia<BR>Fax: 1800 805 700<BR>Toll Free: 1800 251 150 (08:30 - 18:00AEST)</P> <P></P> <P><B>In New Zealand</B><BR>New Zealand Medical and Scientific Ltd<BR>2A Fischer Crescent,<BR>Mount Wellington, Auckland<BR>New Zealand<BR>Toll Free: 0800 658 386 </P> <P></P> <P>Or send us an email using the following form:</P> <FORM name=Contact onsubmit="return validateForm(this)" action=globalincludes/sendmail.asp method=post> <SCRIPT>initForm('Contact')</SCRIPT> <INPUT type=hidden value=Purevision@bausch.com name=F|recipient> <INPUT type=hidden value="Contact Form" name=F|subject> <INPUT type=hidden value=../Content.asp?rid=84 name=F|redirect> <TABLE cellSpacing=0 cellPadding=2 width=430 border=0> <TBODY> <TR> <TD class=bodyblack align=right>Title:</TD> <TD><SELECT class=cfields tabIndex=1 name=_1|Title> <OPTION value="" selected>Title</OPTION> <OPTION value=Mr>Mr</OPTION> <OPTION value=Mrs>Mrs</OPTION> <OPTION value=Miss>Miss</OPTION> <OPTION value=Ms>Ms</OPTION> <OPTION value=Other>Other...</OPTION></SELECT> <SCRIPT> extra = initControl('Contact', '_1|Title').extra; extra.required = false; extra.msg = 'Please select a Title'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>First name<FONT color=#ff0000>*</FONT>:</TD> <TD><INPUT class=cfields tabIndex=2 name="_2|First name"> <SCRIPT> extra = initControl('Contact', '_2|First name').extra; extra.required = true; extra.msg = 'Please enter a First name'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>Last name<FONT color=#ff0000>*</FONT>:</TD> <TD><INPUT class=cfields tabIndex=3 name="_3|Last name"> <SCRIPT> extra = initControl('Contact', '_3|Last name').extra; extra.required = true; extra.msg = 'Please enter a Last name'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack vAlign=top align=right>Street address:</FONT> <P></P></TD> <TD><INPUT class=cfields tabIndex=4 name=_4|Address><BR><INPUT class=cfields tabIndex=5 name=_5|Address> <SCRIPT> extra = initControl('Contact', '_4|Address').extra; extra.required = false; extra.msg = 'Please enter a Address'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>Town or suburb:</TD> <TD><INPUT class=cfields tabIndex=6 name=_6|Suburb> <SCRIPT> extra = initControl('Contact', '_6|Suburb').extra; extra.required = false; extra.msg = 'Please enter a Town or suburb'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>State:</TD> <TD><SELECT class=cfields tabIndex=8 name=_7|State> <OPTION value="" selected>State</OPTION> <OPTION value=ACT>ACT</OPTION> <OPTION value=NSW>NSW</OPTION> <OPTION value=NT>NT</OPTION> <OPTION value=QLD>QLD</OPTION> <OPTION value=SA>SA</OPTION> <OPTION value=TAS>TAS</OPTION> <OPTION value=VIC>VIC</OPTION> <OPTION value=WA>WA</OPTION> <OPTION value=Other>Other...</OPTION></SELECT> <SCRIPT> extra = initControl('Contact', '_7|State').extra; extra.required = false; extra.msg = 'Please select a State'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>Country:</TD> <TD><SELECT class=cfields tabIndex=7 name=_8|Country> <OPTION value="" selected>Country</OPTION> <OPTION value=Australia>Australia</OPTION> <OPTION value="New Zealand">New Zealand</OPTION></SELECT> <SCRIPT> extra = initControl('Contact', '_8|Country').extra; extra.required = false; extra.msg = 'Please select a Country'; </SCRIPT> </TD></TR> <TR> <TD colSpan=2> </TD></TR> <TR> <TD class=bodyblack align=right>Telephone number:</TD> <TD><INPUT class=cfields tabIndex=9 name="_9|Telephone number"> <SCRIPT> extra = initControl('Contact', '_9|Telephone number').extra; extra.required = false; extra.msg = 'Please enter your Telephone number'; extra.format = 'phone'; extra.format_msg = 'Please enter a valid Telephone number'; </SCRIPT> </TD></TR> <TR> <TD class=bodyblack align=right>Email<FONT color=#ff0000>*</FONT>:</TD> <TD><INPUT class=cfields tabIndex=10 size=30 name=_10|Email> <SCRIPT> extra = initControl('Contact', '_10|Email').extra; extra.required = true; extra.msg = 'Please enter your Email Address'; extra.format = 'email'; extra.format_msg = 'Please enter a valid email address'; </SCRIPT> </TD></TR> <TR> <TD colSpan=2> </TD></TR> <TR> <TD class=bodyblack vAlign=top align=right>Details of enquiry:</TD> <TD><TEXTAREA class=cfields tabIndex=11 name=_11|Comments rows=5 wrap=virtual cols=30></TEXTAREA> <SCRIPT> extra = initControl('Contact', '_11|Comments').extra; extra.required = false; extra.msg = 'Please enter your Comments'; </SCRIPT> </TD></TR> <TR> <TD align=top> </TD> <TD class=bodyblack><INPUT class=cfields tabIndex=12 type=submit value=Submit name=F|submit> <INPUT class=cfields type=reset value=Reset name=h_reset> <P><FONT color=#ff0000>*</FONT> indicates a mandatory field</P></TD></TR></TBODY></TABLE></FORM>
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