Your Name: required (as on credit card)
Your email: required (For order
Card Number (We accept Visa & MasterCard)
CCV Number (from back of card)
Rx Information - We need this
to complete your order
Legally, we must receive a copy of your prescription, before your order can be processed.
It should be written on the eye doctors prescription pad or your opticians paperwork and MUST include the pupillary distance (IE: PD) measurement.
You can scan the copy to
and email to: email@example.com