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Online Ordering

Use the form below to submit your order directly to our office. 

Need Help?

Phone: 1.800.426.1700

Email: info@conforma.com

Account Information

New Customer?

New Customer?
Yes
No

If you are a new customer, your Conforma representative will call to establish your customer account.

Lens Information

OD Lens

OS Lens

OD_Type
OS_Type
OD_Material
OS_Material
OD_Color
OS_Color

OD_Vertex
Front Vertex
Back Vertex
OS_Vertex
Front Vertex
Back Vertex
OD_Dot
Dot OD
No Dot
OS_Dot
Dot OS
No Dot

Lenticular

Lenticular

OD_Lent
Yes
No
OS_Lent
Yes
No

Lenticular MC

Lenticular MC

OD_Lent_MC
Yes
No
OS_Lent_MC
Yes
No

VFL3 SuperAdd

VFL3 SuperAdd

Special Instructions

Warranty
Warranted
Non-Warranted
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