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Lens Leader Fall 2007
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Order Entry
Place Your Stock Lense Order Online
Acct Name:
$customer:acct_name$
Acct #
$customer:acct_no$
Representative:
$customer:name$
Qt.
Material
Dia.
Pretreat.
Power Sph & Cyl
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Plastic
Glass
Polycarb
High Index
Transitions
70
75
80
SRC
ARC
No SRC
PGX
Comments or Special Instructions:
Place Stock Order
Copyright
©
2004 Robertson Optical Laboratories, Inc.
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