IC Frames Checkout Page

Special Order

If you've already received a price quote from us on a special order, please fill out this form completely to order. Items marked with an "*" are required.
If you simply need to request a quote for something you haven't found in our catalog, please click here for the form.

FRAMES

Manufacturer: *
Style Name/Number: *
Color Name/Number: *
Size: Eye * Bridge * Temple *
Quoted price: $ * (no dollar signs, please)
Quantity: *

CHECK HERE IF ORDERING LENSES, OTHERWISE CHOOSE PAYMENT METHOD BELOW If ordering lenses items marked with an "**" are required.

Lens Materials:** (Choose one)

  GLASS $94.40 PLASTIC $55.20
  POLYCARBONATE $78.40
  TRIVEX $90.40 HI-INDEX 1.60 $98.40
  HI-INDEX 1.67 $130.40

Tints: (Choose one)

    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

Coatings: (Check all that apply)

Anti-Reflection +$39.20
TD-2 Super Heavy Duty Scratch Coat +$39.20
Miscellaneous:

Polished Edges +$15.20

PRESCRIPTION INFORMATION

Right: (OD)	Spherical**	Cylindrical	Axis

Left: (OS)	Spherical**	Cylindrical	Axis

Pupillary Distance: (PD) **
(We MUST have this measurement. If you don't have it, check with your optician or eye doctor.)

Exam Date: ** Expiration Date: **

PLEASE NOTE: To comply with state Optometric laws we must have a current copy of your prescription for our files. Please fax to 307-235-6193 or mail to IC Frames, P.O. Box 85, Casper, WY 82602. Give us a call if you have any questions.

Payment Method:

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