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Bella

$30.00Price
New
  • Email the following info  To luxuryshadez@gmail.com 

    Please copy and paste form to make it easier for production

    Single Vision-   Near, Intermediate or Distance

    SPH CYL             AXIS                          ADD                          

    OD (Right)                                                                                                                                    

    OS (LEFT)                                                                                                     

    (PD) Pupillary Distance                                                           if two PDs ☐

    Progressive-   Near, Intermediate, and distance in one lens

                               SPH                   CYL                     AXIS            PRISM          

    OD (Right)                                                                                                                                         

    OS (LEFT)                                                                                                     

    (PD) Pupillary Distance                                                           if two PDs ☐

                                                                                                                                              

    Reading Glasses- One magnification field for Reading

    -Readers- Select a magnification Strength

    (Example +0.25, +0.50, +0.75 and Up to +6.00)

    List a magnification Strength Here                                                            

     

    Type of Prescription

    • Single Vision
    • Progressive
    • Readers- Strength
    • Lense Type
      • Standard Lenses $10.00 ☐  Blue Light Blocking $25.00 ☐

        Photo chromatic Lenses $40.00 ☐ Color Tint $45 ☐  Driving Lenses $40.00 ☐
    • Lens index
      • The higher index you choose, the thinner the lenses will be

        ☐ 1.57 Mid- Index $10.00  ☐ 1.61 High-Index – RECOMMENDED $25.00

         ☐1.67 High Index $55.00   ☐1.74  High Index $150.00

    • Coating

      ☐ Standard Coatings- Reduces light reflections $10.00

      ☐Advanced Coating (Recommended) Water-resistant, easy to clean reduces light reflections $15.00

      ☐Ultimate Coatings $20.00

      ☐No Coating –FREE

      To start production all items must be

      PAID IN FULL

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