Surfaced RX Order - Giofine Lenses

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Stock Finished Surfaced RX

Surfaced RX Lens Order

For custom surfaced prescription lenses. Please provide complete prescription details.

Account Details

Practice Name *

E-mail *

Lens Selection

Lens Type *

Lens Design *

Material *

Coating

Full Prescription

RE Sph *

RE Cyl

RE Axis

RE Add

LE Sph *

LE Cyl

LE Axis

LE Add

Measurements

PD (mm)

Fitting Height (mm)

Frame B Dimension

Order Details

Quantity (Pairs) *

Delivery

Cutting Required?

Special Instructions