HELP WITH ORDER FORM

If you have not printed your Order Form yet, please do so first.
The following instructions and explanations will assist you in completing the Order Form.
Step 1:

If you are replacing your old lenses with the same prescription, select “Same Prescription” we will copy the prescription from your old lenses. If you have a new prescription, please select “New Prescription” and be sure to include your new prescription with your order. In both cases, you must enclose your eyeglasses. We can only obtain your optical measurements from your own personal frame (lenses included).
Step 2:  Lens Type

Choose your lens type. You may select only one. “Single Vision” lenses provide the same view throughout. “Bifocals” have reading and distance corrections. “Trifocals” have reading, distance, and intermediate corrections. “Progressives” are bifocals with no visible line between the reading and distance corrections. (An example is the Zeiss® Progressive lens;)
Step 3: Lens Materials

Choose your lens material. You may select only one. “Standard Plastic” is regular optical plastic. “Thin Plastic” is a thinner and lighter optical plastic, we use either Polycarbonate or 1.60 index plastic. We  recommend Thin Plastic for prescriptions between +- 3.00 and +- 5.00 diopters. "Thinner Plastic"  lenses are Ultra-Thin they are  made of  1.66 High Index plastic. “Transitions®” is a plastic Photochromatic material that automatically darkens and lightens based on light conditions. “Polarized Plastic” is a special optical plastic that eliminates glare and protects against reflections from water, snow, and sand. “Thin Transitions®” combines thinner lens with Photochromatic capabilities. We do not offer glass lenses.
Step 4: Enhancement Packages

 

 Select an enhancement package. Our “Standard Package” has scratch-resistant coating and ultra-violet light protective coating. This protects your lenses against scratches and your eyes from the damaging effects of the sun. The “Deluxe Package” has scratch-resistant coating, ultra-violet protective coating, and Carl Zeiss® Anti-Reflective coating. Anti-reflective coating removes glare and reflections from your lenses. It eliminates reflections from street lamps and headlights at night.
Step 5:  Tint and Sunglasses



If you want your new lenses tinted, please select “Match existing tint or add Tint”. We will duplicate your existing tint, or you can write in your color of choice (example 10 % pink tint). If you want a dark sunglass tint, write in either 80% Grey or Brown. We will tint your new lenses accordingly. We can not tint Transitions® lenses.
Mirror Tints: Mirror colors are available in BLUE MIRROR, SILVER MIRROR and BRONZE MIRROR. Mirror Coatings give you a cool look and provide a reflective surface that makes the eye invisible to viewers. They also protect eyes from glare and heat.
Step 6:  One year Warranty
Select if you want a “Scratch Warranty ”.  If  your lenses are scratched (Normal Wear and Tear), within 12 months of you purchasing them, then we will replace them for you at 50% of your original purchase price.
In Order to Purchase this one year warranty:
 (You must also select either the Standard Package or the Deluxe Package in Step 4 of the order form.)
Step 7: Shipping & Handeling
Please select “Standard” or “Express” delivery. It normally takes us five to seven working days to manufacture your lenses. “Standard Delivery” is ground delivery by first class mail with delivery confirmation while “Express” orders are shipped via "Express mail" overnight shipping to arrive the next day following the manufacture of your lenses.
 Additional Prices for Items Not Listed on order form.

  

 

Some items are not listed on our order form, please write them in with the following prices:
 "Drilled rimless" or silhouette frames ”      add  $20.00      (These frames require special drilling to mount the lenses.)
 "Edge polish"   for drilled rimless frames  add  $10.00      (Polished edges for Rimless Frames)
 "Strong Prescriptions"                               add  $20.00      (add for prescriptions greater then -8.00 diopters of power.)
 "Foreign Orders"  via parcel post - usps   add  $20.00      (For shipping and handling to Canada, Mexico and Europe)
Total:

Please add up the prices for the options you have chosen.

Be sure to provide your full name, address, and telephone number.

To pay by check, make your check payable to “Eyeglass Lens Replacement” in the amount of your total. To pay by credit card, fill in your credit card number along with the expiration date.

Send your Eyeglasses, completed Order Form, New Prescription (if applicable), and your Payment or Credit Card Information to:

Eyeglass Lens Replacement
PMB 307
4465 E. Genesee St.
DeWitt, NY 13214-2253

Your local post office or Mailboxes Etc.® has small eyeglass size boxes that you can use to send your glasses.