RX FORM

Step 1: Personal Imfornation
Step 2: Lens Options
STANDARD COLORS
Step 3: Frames Options
Step 4: Your Prescription
A HIGH POWER FEE OF $20 WILL BE APPLIED TO PRESCRIPTIONS HIGHER THAN -5 TO +5 MAKE SURE TO PUT IN A PLUS OR A MINUS TO INSURE THE CORRECT PRESCRIPTION IS ORDERED.
R(OD)
L(OS)
STEP 5 - ADD-ONS (OPTIONAL)
STANDARD MIRRORS
POLARIZED COLORS
POLARIZED MIRRORS
LIGHT ADJUSTING LENSES
EXTRA COATING (OPTIONAL) CHECKBOX