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Online Ordering
Use the form below to submit your order directly to our office.
Account Information
New Customer
If you are a new customer, your Conforma representative will call to establish your customer account.
Lens Information
OD (Right Lens)
Lens Type:
Material:
Color:
Base Curve:
Second Radius:
Third Radius:
Bevel Radius:
Power:
Lens Size:
Optic Zone:
Center Thickness:
Lenticular:
Size:
Lenticular MC:
Size:
VFL3 SuperAdd
F.O.Z:
Add:
OS (Left Lens)
Lens Type:
Material:
Color:
Base Curve:
Second Radius:
Third Radius:
Bevel Radius:
Power:
Lens Size:
Optic Zone:
Center Thickness:
Lenticular:
Size:
Lenticular MC:
Size:
VFL3 SuperAdd
F.O.Z:
Add:
Special Instructions:
Plasma
Wet Ship
New Fit
WA Exchange - Invoice #
Additional Instructions:
Please fill all required fields.
Thank You!
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