Online Order Form

Please provide the following contact information:

Name
Account Number
Company Name/DBA
Work Phone
Fax
E-mail

Please provide the following ordering information:

You will find the Style code, size and color info on the frame temples or on the web-catalog.  Fill up the form according to the example (showing in blue text on the top of ordering form).

QTY  2	STYLE  TT8823	SIZE  48-18-135	COLOR  Silver	QTY  1	STYLE  RTT0702	SIZE 52-19-140	COLOR  Gold

Please provide shipping information:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Comments/Suggestions?

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Copyright 1999 [Alpha Optics LLC]. All rights reserved.
Revised: 07/27/08