Sunday, October 19, 2008

Order Form

Posted by Charlene_luv at 5:04 AM
Dear customers, please completely fill out the order form below:

*Order will be processed and an invoice will be sent to you after receival of order form.


Name:
Phone No:
Shipping Address:
Neo Color Lens:
Left Eye PWR:
Right Eye PWR:
Geo Color Lens:
Left Eye PWR:
Right Eye PWR:
For more than one item,  please fill in your order here:  
(e.g. CK-105  -1.00/-1.00 x 1)
Total Quantity Pair(s):
Email Address:
Method of Payment: MayBank2U (Online Transaction)
Bank-in (Maybank)
Bank-in (Public Bank)
Cash on delivery
PayPal
Others
Disclaimer

This disclaimer of liability applies to any discomfort or injury caused by contact lens wear.

IMPORTANT: Seek advice from eye-care practitioner to verify proper fit and follow the proper lens care guideline.

Follow the suggested wearing schedule which is not more than 6 hours per day to maintain your overall eye health.

I have read and understand the above statement and I accept full responsibility for my ongoing eye care and for the suitability of the contact lenses purchases.



For any inquiry, please contact us at: char_lens@live.com
 

Circle Lens ❤ Korea Geo, Eos, Beaucon Color Contact Lens Copyright 2010 Charleneshop