Order for Prescription Billiard Eyeglasses from Gordon Harrison, Dispensing Optician
    
1 pair of Prescription Billiard Eyeglasses @ 209.95 CND$

Add Progressive Lenses @ 69.95

Add Anti-Reflective Coating @ 49.95

Add Ultra-Thin Lenses @ 49.95

Use The Personal Currency Assistant™ to convert to your currency
    
Where to send the order.

Ship to Name:

Ship to Address:

Ship to City:

State/Province, Country
Ship to Country

Zip/Postal Code:


Ship to Phone:

  Credit card receipt name and address
(if different from the Ship to Name)
Name: if different from Ship to
:

Address:

City:

State/Province
Country:

Zip/Postal Code:


Phone:

 
Important:
Your Name: required (as on credit card)


Important:

Your email: required (For order confirmation)


Card Number (We accept Visa & MasterCard)


Expiry      Expiry
CCV Number (from back of card)
 

Rx Information - We need this to complete your order

  Sphere Cylinder Axis
Right Eye
Left Eye
PD Add
Eye Doctor's Name Eye Doctor's Phone #
Click on >>

IMPORTANT:

Legally, we must receive a copy of your prescription, before your order can be processed. It should be written on the eye doctors prescription pad or your opticians paperwork and MUST include the pupillary distance (IE: PD) measurement.

You can scan the copy to

SCAN and email to: coupe@bellnet.ca

or by

Call 1-514-830-1898