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ORDER FORM Please fill this form after you make your payment.
Name: *
Address *
Type of Lens: *	DREAMY POP C DARK POP C LIGHT CRYSTAL-i BLETHEYE SUGAR CANDY PUFFY 3 TONES DOLLY EYE PRINCESS NUDY DIZON
Colour of Lens:	Aqua / Blue   Brown / Hazel   Green   Grey   Pink   Violet  If u order same color more than one pair, please fill as an example:- ''2pink,2brown'' in the 'How Many Pairs'.
Power Degree : *	0 100 125 150 175 200 225 250 275 300 325 350 375 425 450 500 550 600 650 700 800 850 900 950 1000
How Many Pairs: *
Tel. No. : *
Emel : *
Details of Payment *	Include date,time,ATM id,trace no location.