TRSC Member

TRSC Member Registration

1. Please provide us with your email address.
2.Please fill in your personal information so that we may contact you if you have any problems with our services.
3. lease choose your username and password to log in to our system. The username and password must each be 4-25 characters in length.
4. Any blanks with an asterisk (*) must be filled in.
5. Your information will not be disclosed to any third party without your authorization.
6. Once you become a TRSC Member, you will be able to log in and use our services such as LASIK Screen or making appointments online.
7. Please remember your username and password.

Please Follow the Step

STEP 1 Set user name and password Email

E-mail :

Please enter your email. Invalid email format.
Please fill in correctly don't have email? Click

Password :

Minimum of 4-25 characters in lenth Valid

Please Insert Password Please Insert Password 4 - 25 Charecter Please Insert Password 4 - 25 CharecterPlease enter your password. Less than the specified characters Characters than specified

Comfirm Password :

Please enter your confirmation password.

Security Question :

Please select

Your Answer :

Please Insert Your Answer

STEP 2 Your personal Info

Title :

Please select title

Other :

Name :

Please enter your name

LastName :

Please enter your last name.

Sex :

Male FeMale Valid

Please select gender.

Birthday :

dd/mm/yyyy (Ex. 20/06/1975) Valid

Please enter your birthday Birthday form is invalid.

Country :

Please select a country

Preferred Method of Contact :

E-mail Tel. Please select a contact channel (Insert Tel. : ) Valid

Phone number is invalid.

Preferred Days :

Monday   Tuesday   Wednesday
Thursday   Friday   Saturday.   Sunday
Everday

Preferred Time :

9:00-12:00 13:00-17:00 18:00-20:00
Evertime

Refractive error :

Nearsightedness
Inborn farsightednes
Astigmatism
Age related farsightednes
Cataract
e select your eye problems Select a maximum 3 above.
Other :

Prescription :

Right eye	Astigmatism

(If near use -, far use +)

Left eye	Astigmatism

(If near use -, far use +)

How did you find us?

Please select an answer

Do you want to Receive Promotional Messages Via SMS?

No Yes, Please SelectPlease select