Discount Purchase with Release Attach File Here Thank you for your interest in Inlight Medical. We are proud to partner with our charities to provide discounted systems to our Veterans and active members of the Military. If you would like to make an immediate purchase with a 50% discount off of MSRP, attach your proof of service documents: DD Form 214, 215, 256, NGB Form 22, Military ID (active duty, National Guard, Reserves, IRR, or retiree), and/or VA Issued ID. A member of our team will contact you to complete the purchase process. We thank you for your service and your interest in InLight Medical polychromatic light products.NameFirstLastAddressCity, State, ZipPhoneWho referred you to InLight 4 VeteransBranch of serviceDate of ServiceWhich system do you want to purchase?Select2/PORT | 2 Pad Pain – MSRP: $1,295, Veteran Price: $647.502/PORT + Brilliant LightCap – MSRP: $1,995, Veteran Price: $997.506/PORT Expandable System + Brilliant LightCap – MSRP: $3,995, Veteran Price: 1,997.506/PORT Diamond System – MSRP: $4,995, Veteran Price: $2497.50Why do you want an InLight System? 20
