Order Form

Contact Lenses Order Form Submit your order now! We will send you an invoice within 24 hours. Once payment is done, we will arrange your order immediately!

Name *

Contact no: *

Email *

Shipping Address

<br /> Please fill un correct address where you wish us to send the lenses to.

Order Details Please fill in your order as below:

Order List:

<br /> please fill up your order as below: example: Code: XCH-624 Left/ Right degree: 2.50 / 2.50 Qty: 1 pair

Payment Method *

Bank in (Maybank: 114-124-026-725 YEONG KAR WAI)   Paypal (email: stella_karmun@hotmail.com)

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