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Eyeglass Order Form PO Box 3333 Peoria, IL 616123333 Fax 18003221822 Scan and email to lab jakopticallaboraties.comJAKHarmonyOptical Laboratories JAK Account #Please Print or TypeProvider Phone #Provider
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How to fill out eyeglass order form

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How to fill out eyeglass order form

01
To fill out an eyeglass order form, follow these steps:
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Start by providing your personal information, such as your name, address, and phone number. This information is important for contact purposes.
03
Next, indicate whether you are ordering prescription glasses or non-prescription glasses. If you require prescription glasses, you will need to provide your prescription details.
04
Specify the type of lenses you want for your glasses. This can include options such as single vision lenses, bifocal lenses, or progressive lenses.
05
Choose the lens material you prefer, such as plastic, polycarbonate, or high-index lenses. Consider factors like durability, weight, and thickness.
06
Select any additional lens coatings or treatments you desire, such as anti-reflective coating, scratch-resistant coating, or UV protection.
07
Determine the frame style you want for your glasses. Consider factors like shape, color, and material (metal, plastic, etc.).
08
Provide your pupillary distance (PD) measurement. This is the distance between your pupils and helps ensure proper alignment of the lenses with your eyes.
09
If you have any specific instructions or preferences for your glasses, make sure to include them in the form.
10
Double-check all the information you have provided to ensure its accuracy and completeness.
11
Sign and date the order form to confirm your agreement with the terms and conditions of the eyeglass order.
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Remember, it's always a good idea to consult with an eye care professional if you have any doubts or concerns about filling out the eyeglass order form.

Who needs eyeglass order form?

01
Eyeglass order forms are required by individuals who want to purchase eyeglasses. This includes people who need prescription glasses to correct their vision or non-prescription glasses for fashion purposes. Anyone who wants to order customized eyeglasses according to their specific preferences and requirements will typically need to fill out an eyeglass order form. These forms are commonly used by opticians, optical stores, and online eyewear retailers to ensure accurate and efficient processing of customer orders.
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Eyeglass order form is a document used to place an order for eyeglasses, specifying the customer's preferences for frames, lenses, and any additional features.
Individuals who wish to purchase new eyeglasses are required to fill out the eyeglass order form.
To fill out the eyeglass order form, the individual needs to provide their personal information, select the desired frame and lens options, and specify any additional features or requirements.
The purpose of the eyeglass order form is to gather all necessary information from the customer in order to create a custom pair of eyeglasses that meet their specific needs and preferences.
The information required on the eyeglass order form includes the customer's name, contact information, prescription details, frame selection, lens type, and any special requests or preferences.
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