DOLLY

Fill out the information below to make sure we use your correct prescription is used for your order. Any changes or request can be added under special instructions. Any question's contact us at 1-800-807-8722 or email us at tintedlens@aol.com. Thank you for visiting www.fxeyes.com, your visit is important to us.

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Video Outside; http://www.youtube.com/watch?v=RkTGXG2Hw9k

Item Options

Please enter your prescription information below: (Required)

	O.D. Right

	O.S. Left

	Diameter

	Base Curve

	Special Instructions

	Doctor's Information

Perscription Cost

Standard: B.C. 9.8, POW. 0, DIA. 22.0

Sphere: Any Measurement (Add $38.50)

Toric: Any Measurement (Add $140.00)

Item Price

Your Price:

$329.00

Quantity (Pair):

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** All Prices Are Per Pair **

ALL SALES ARE FINAL, NO REFUNDS.
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