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https://www.ncsight.org/business_services/
Submission: On May 31 via manual from PL — Scanned from PL
Submission: On May 31 via manual from PL — Scanned from PL
Form analysis
1 forms found in the DOMPOST /business_services/#wpcf7-f40-o1
<form action="/business_services/#wpcf7-f40-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="40">
<input type="hidden" name="_wpcf7_version" value="5.9.5">
<input type="hidden" name="_wpcf7_locale" value="en_US">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f40-o1">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AFcWeA4iRP7svOInZs8vzgBgIj4VP0vp7LKaOu7m4vt738z16f-BW_Kquxb6XlrMOR4gm51GEG6YV7qEgS3oFOqGeU1zdsIqXtQBhjurpmWGIbEZ-rma56tc4X7r-6QglXDZiEwPHjyWyNDK3yfZ5HQMtwfZj2iv85MXwc9N8WzYx9ERxyBiB8GU297Pi9md6mzGC05glkS7D-hofYr6DbhNzGaDMtA53m9D4zw1AyOqyGMJhY4X08arwLUQKE_hZ9SHpA4aOPJZiD9HiUkKhiotx0Agn7QJoZRj5WRUhFSSV_VneA7J5d9TqcaLD4h4tcEHJ20VpKK9jUmePWv3zHRAUYVf1exCcL6Mbs9Z6lUmrHaFBUozgMPRsnSILKe2BIONK0UnoeFIJj6d-25N8LQME4EGLoKSN-X6lQP9WXwxO851B6PjCl3YOldrEuhbYQou8WbO0FCbqF-w0N8qG3Bt7F9YNT2XjkEYKwRmQ1euSgd7pCpzOY1KVSQTqsxDwyBPNGNKsK4z6CMVaW36_v2P3aFCuzMkpCmjJ21XBYg_AQfEvMmOlpxrV-249h-tk5g56sTEyxJBUvhs1jAxD7uOYRCZqf-MZ-wDXePGPvcvZLlEj2LbwHLYh70W0RtVgZWrOn7I6QU1yTcEMH87MkYcNlEkFEshWQQ-WLTn-xSzJRqACSCszmo">
</div>
<p><label><span class="wpcf7-form-control-wrap" data-name="your-name"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Your Name" value="" type="text"
name="your-name"></span> </label>
</p>
<p><label><span class="wpcf7-form-control-wrap" data-name="your-email"><input size="40" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" aria-required="true" aria-invalid="false"
placeholder="Your Email" value="" type="email" name="your-email"></span> </label>
</p>
<h4>Which of our Services are you interested in? </h4>
<p><label><span class="wpcf7-form-control-wrap" data-name="WhichofourServicesareyouinterestedin"><span class="wpcf7-form-control wpcf7-checkbox"><span class="wpcf7-list-item first"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Supportive Services"><span class="wpcf7-list-item-label">Supportive Services</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Adjustment to Blindness"><span class="wpcf7-list-item-label">Adjustment to Blindness</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Early Childhood Intervention"><span class="wpcf7-list-item-label">Early Childhood Intervention</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Low Vision Store"><span class="wpcf7-list-item-label">Low Vision Store</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Assistive Technology"><span class="wpcf7-list-item-label">Assistive Technology</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Eye Care Assistance Program"><span class="wpcf7-list-item-label">Eye Care Assistance Program</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="Occupational Therapy"><span class="wpcf7-list-item-label">Occupational Therapy</span></label></span><span class="wpcf7-list-item last"><label><input type="checkbox"
name="WhichofourServicesareyouinterestedin[]" value="I’m Not Sure"><span class="wpcf7-list-item-label">I’m Not Sure</span></label></span></span></span></label>
</p>
<p><label><span class="wpcf7-form-control-wrap" data-name="your-message"><textarea cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false" placeholder="Your Message" name="your-message"></textarea></span> </label>
</p>
<p><input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Send"><span class="wpcf7-spinner"></span>
</p><input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div>
</form>
Text Content
Skip to content Open toolbar Accessibility Tools Accessibility Tools * Increase TextIncrease Text * Decrease TextDecrease Text * GrayscaleGrayscale * High ContrastHigh Contrast * Negative ContrastNegative Contrast * Reset Reset Skip to content Menu * About * Vision Services * Support Services * Prevention & Education * Adjustment to Blindness * Low Vision Store * Assistive Technology * Eye Care Assistance Programs * Early Intervention * Occupational Therapy * Business Services * Document Shredding and Storage * Sip for Sight * Vending * Assembly, Packaging and Distribution * Custom Logo Flash Drives * Custom Label Solutions * SKILCRAFT Products * Download Flash Drive Software * Giving * News * Events * Contact (570) 323-9401 Home » Business Services SIP FOR SIGHT VENDING DOCUMENT SHREDDING & STORAGE ASSEMBLY, PACKAGING & DISTRIBUTION CUSTOM LOGO FLASH DRIVES CUSTOM LABEL SOLUTIONS SKILCRAFT PRODUCTS DOWNLOAD FLASH DRIVE SOFTWARE BUSINESS SERVICES North Central Sight Services, Inc. offers a variety of Business Services based on our experience, capabilities and focus on exceptional customer service. By doing business with North Central Sight Services, Inc., you are helping to provide employment to an individual who is blind or visually impaired and helping to provide valuable programs in your community. HOW CAN WE HELP? WHICH OF OUR SERVICES ARE YOU INTERESTED IN? Supportive ServicesAdjustment to BlindnessEarly Childhood InterventionLow Vision StoreAssistive TechnologyEye Care Assistance ProgramOccupational TherapyI’m Not Sure ADDRESS: 2121 Reach Road Williamsport, PA 17701 CALL US: Phone: (570) 323-9401 Toll Free: (866) 320-2580 Fax: (570) 601-9404 LINKS Home About NCSS Vision Services Business Services News & Events Contact Copyright © 2024 North Central Sight Services, Inc. All Rights Reserved. 990 Tax Return for Public Inspection. Submit Payment