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(THIS FORM IS SUBJECT TO PRIVACY ACT OF 1974 Use DD Form 2005.)EYEWEAR PRESCRIPTIONACCOUNT NUMBERDATETO: (Lab)ORDER NUMBERFROM:NOSTRADAMUS (Last, First)Last 4 onlyGRADEADDRESS/UNITPHONEADDRESS CONTINUEDSHIP
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Locate the 'Sign up' or 'Register' button on the homepage and click on it.
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Fill in the required fields such as your name, email address, and password.
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