Lens Order Form
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Name |
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Email(If you have FB,kindly give your email used in FB) |
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Phone no |
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Office/Home Adress |
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CONTACT LENS TYPE-QUANTITY |
(Eg. DUEBA PRINCESS NUDY BROWN - 1 ) |
Power:Right/Left |
(Eg. 350/325) |
Payment method(no akaun akan diemel atau sms) |
CIMB cash deposit |
Payment Period |
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Image Verification |
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