ORDER FORM

NAME
EMAIL ADDRESS
ADDRESS
PHONE NUMBER
LIST OF ORDER (WITH POWER-IF ANY)
PAYMENT THROUGH	MAYBANK BSN
NOTIFY US AFTER PAYMENT.... PAYMENT DETAILS-NAME/AMOUNT/DATE BANK IN/NAME OF THE BANK -Online Payment, Pls copy and paste your successful txn here
DISCLAMER : This disclaimer of liability applies to any discomfort or injury caused by contact lens wear. IMPORTANT! Seek advice from eye-care practitioner to verify proper fit and follow the proper lens care guideline.Follow the suggested wearing schedule which is not more than 6 hours per day to maintain your overall eye health. I have read and understand the above statement and accept full responsibility for my ongoing eye care and for the suitability of the contact lenses purchases.	AGREE

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