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This form is divided into two sections:
(1) If you don't find the frames or sunglasses you're looking for in our catalog, please complete the first section and submit the form for a quote.
(2) If you'd like a quote for single vision prescription lenses for any of our frames, please fill out BOTH SECTIONS of the form and submit it. You'll need your prescription information, of course.
Please submit this form for each frame or frame/lens package you'd like a quote on. We'll respond as quickly as possible. Please try to provide us with as much of the information below as possible for an accurate quote. Thanks!
IC Frames, eyeglasses, eyeglass frames & sunglasses online: Quote Request Form
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**** Begin Section 1: Frame Information ****
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Your Name:
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Your email address:
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Please provide us with the state and/or country we'll be shipping your order to. This will allow us to quote shipping charges.
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State/Province:
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(US Residents please use 2-digit state code)
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Country:
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Manufacturer:
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Style/Model Name
and/or Number:
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Size:
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Eye:
Bridge:
Temple:
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Color Name/Number:
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Clip-on
Color Name/Number:
(if desired)
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Please include any other useful information in the box below:
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**** End Section 1, Begin Section 2, Lens Information ***
(The Submit button is at the bottom of the page.)
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Lens Materials:
(Choose one)
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GLASS $94.40
PLASTIC $55.20
POLYCARBONATE $78.40
TRIVEX $90.40
HI-INDEX 1.60 $98.40
HI-INDEX 1.67 $130.40
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Tints: (Choose one)
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Sunglass: (Any material)
Dark Grey +$13.60
Dark Brown +$13.60
G-15 (Grey/Green) +$13.60
Polarized Dark Grey +$68.80
Polarized Dark Brown +$68.80
Photocromatic:
FOR GLASS:
Photogrey Extra +$71.20
FOR PLASTIC or POLYCARBONATE:
Transitions Grey +$71.20
Transitions Brown +$71.20
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Coatings:
(Check all that apply)
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Anti-Reflection +$39.20
TD-2 Super Heavy Duty Scratch Coat +$39.20
Crizal (Combination of Anti-Reflection and TD-2) +$74.40
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Miscellaneous:
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Polished Edges +$15.20
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PRESCRIPTION INFORMATION
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Right: (OD)
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Spherical
Cylindrical
Axis
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Left: (OS)
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Spherical
Cylindrical
Axis
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Pupillary Distance: (PD)
(We MUST have this measurement. If you don't have it, check with your optician or eye doctor.)
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Exam Date:
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Expiration Date:
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Please include any other useful information in the box below:
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HOME •
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HOW TO: use the catalog •
order •
contact us •
FAQ •
LINKS
OUR GUARANTEE •
QUOTE FORM •
SPECIAL ORDER FORM •
FRAME SPECS FORM
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