DIVING MASK LENS ORDER DETAILS

Complete the following order sheet and print it off. Post to the address below together with your mask and payment.(Cheque or postal order only please)

     NAME        

ADDRESS       

                        

                        

 POST CODE                              TELEPHONE

 Prescription details

Select from the boxes below or send us a copy of your prescription

                    SPHERE                   CYL                        AXIS

RIGHT EYE                     ADD

LEFT EYE                         ADD

 If your prescription is not covered by numbers in the range boxes please email     axisoptical@btconnect.com

or telephone us on 0114 2728993. We can produce very high power and/or complex lenses but we will need to discuss your specific requirements and quote you a price.

Please note we cannot guarantee a delivery date, these are pieces of glass that may be subject to failure in manufacture.

TYPE OF LENS REQUIRED      

 CLICK HERE TO RETURN TO DIVING LENS INFO

 

Use the printed address on the next sheet as your shipping label

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AXIS OPTICAL
CARLISLE HOUSE
99 CARLISLE STREET EAST
SHEFFIELD
S4  7QN