EyeHear.com Shopping Cart


Your order is important to us. Please verify that the quantity displayed next to the product which you wished to order is correct, and then click the Update Shopping Cart button. Your order will then be automatically calculated. Choose the Continue button to move on to the customer information section and billing option form.

Product Quantity Price Item No. Color



 
Shopping Cart
Please update, choose lens options, and then click the continue button to complete your order.

Price of Frames ($) Protective Scratchguard Lens Tint

Lens Type

  Total cost of order: $
(includes $6.50/item shipping charge)


Select the size of the frames that you wish to order.
                                     










Shipping Information
First Name:  
Last Name:  
Address:  
City/Town:  
State:  
Zip Code:  
Email Address:  
Phone Number:  
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Prescription Information
Name of doctor who wrote prescription:
Doctor's phone number:  
Date of exam:
 
EYE Sphere Cylinder Axis Add
Right Eye
Left Eye
Distance PD Near PD

The distance between your pupils in MM. Example Far=62 Near=59








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Credit Card Information
Credit Card              Card Number
Visa
MasterCard
Discover Card
 
Expiration Month:
Expiration Year:




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