N.H. Admin. Code § Opt 304.01 - Application for Registration as an Out of State Contact Lens Dispenser
Applicants for registration of an out of state contact lens dispenser shall pay the registration fee specified in Opt 303.01 and provide the following on a "Application for Registration as an Out of State Contact Lens Dispenser" form, effective August 2017, supplied by the board:
(a) The name and address of the
business;
(b) The telephone number
of the business;
(c) The type of
business organization and names and titles of all principal owners or officers
of the business;
(d) The names and
business addresses of all subsidiaries, branches or divisions of the business
which provide spectacles or contact lenses for retail sale or which provide
optometric or ophthalmic care;
(e)
A declaration that the business is in compliance with all applicable laws and
regulations in the state in which it is physically located;
(f) A declaration that the business will
comply with all applicable laws and regulations in the conduct of its business
in New Hampshire; and
(g) The
signature of the principal owner or officer of the business.
Notes
#6098, eff 10-1-95; amd by #6717, eff 3-24-98, EXPIRED: 3-24-06
New. #9342, eff 12-9-08
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