Order Form

Educational Material and Glasses Quantity Total
The Myopia Myth: Softcover. Reveals the truth about the eye care business. $15   $
Kids' reading glasses: Indicate power and quantity. $50   $
Coiled head strap for use with reader. $3   $
Myopter Model Quantity  
Myopter models: Temple, red, gray, green, yellow, orange, black. $200     $
Myopter Lenses Power Quantity  
Myopter lenses: +3, 2.5, 2, 1.5, .5, plano, -.5, 1, 1.5, 2, 2.5, 3. $15 each     $
Myopter lenses: +3, 2.5, 2, 1.5, .5, plano, -.5, 1, 1.5, 2, 2.5, 3. $15 each     $
Myopter lenses: +3, 2.5, 2, 1.5, .5, plano, -.5, 1, 1.5, 2, 2.5, 3. $15 each     $
Myopter lenses: +3, 2.5, 2, 1.5, .5, plano, -.5, 1, 1.5, 2, 2.5, 3. $15 each     $
Myopter Lenses To Install Right Left  
Indicate which power is to be installed for each eye.      
Postage to countries outside the US. Add $20 for book, $12 for glasses, $20 for myopter. Includes insurance. $
Total $
Nonstandard spherical lenses are $40 each on special order. To calculate the correct power of Myopter lenses,
see Close-up Lens Selection or use Email for assistance.

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