Name:
Contact No:
Email:
Address:
I want to order:	Pre-Order (have to wait around 5 days) Ready-stock
Lens Code & Power Degree: *e.g. CH-625 (0/0), Barbie Eye Grey (300/350)
Meet-up Location:	Tutong (Hua ho) Giant Rimba Hua ho Tg Bunut Gadong (soon lee batu besurat,Jaya Hypermart,Mall) Jerudong (Macro jaya,Pertama) Others
Understand and Accept our T&C	YES, I understand and accept the T&C

*You will receive a confirmation order list via email within 24 hours after submit this order form.