Name:
Contact Number:
Address:*full address!
Mode of payment: Bank transfer/Paypal (Choose 1)
Mode of collection: Normal/Registered Postage (Choose 1)
Order 1:
Degree:
Order 2:
Degree:
Number of lens casing purchasing:(if any)
Pls copy the above order form and send it to splendid-stuffs@live.com.sg

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