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YOUR CONTACT DETAILS
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PREFERENCES
More options will appear as you progress through the form
Which Watershades RX model do you require a quotation for?
*
Please choose....
Typhoon RX
Surge RX
FLO RX
Choose a Surge frame colour
*
Gloss Black
Matt Black
Graphite / Red rubber
Graphite / Green rubber
Graphite / Blue rubber
You will choose your lens preferences below
Choose a Typhoon frame colour
*
Gloss Black
Matt Black
Gloss White
Transparent Grey / Black Rubber
Transparent Grey / Red Rubber
Matt Graphite / Pink rubber
You will choose your lens preferences below
Choose a FLO frame colour
*
Matt Black / Mustard
Mustard
You will choose your lens preferences below
Type of RX lenses required
*
Please choose....
Single Vision
Varifocal
Note: for Varifocals, you will need to attend an opticians with a sample frame to obtain an accurate pupil height reading. This is not required for Single Vision lenses.
Do you want the 'Orion-X' anti-fog coating
Yes
No
Note: Our new ORION-X anti-fog extra lens coating works in combination with the double vortex venting system to deliver a unique solution to lens fogging. Orion-X is an additional coating on the inside lens surface which works in combination with a nanofibre cloth (supplied) that activates the coating. Clears lens fogging fast. Highly recommended for humid climates / cold water.
Choose your lens preferences
*
Please choose....
Fixed Tint (Standard)
Photochromic ('Quickstep')
Polarized ('Polar RX')
Photochromic & Polarized ('Quickstep Polar RX')
Fixed tint lens options
*
Smoke (VLT: 15%)
Brown (VLT: 12%)
"VLT" describes the visible light transmission rate of the lenses (i.e. the percentage of visible light that passes through the lens)
Photochromic (Quickstep) lens options
*
Medium / Dark Grey (VLT: 40/12%)
Medium / Dark Brown (VLT: 42/20%)
Medium / Dark Green (VLT: 40/15%)
Medium / Dark Copper (VLT: 40/12%)
Night & Day (VLT: 77/18%)
"VLT" describes the visible light transmission rate of the lenses (i.e. the percentage of visible light that passes through the lens)
Polarized ('Polar RX') lens options
*
Smoke (VLT: 15%)
Brown (VLT: 12%)
"VLT" describes the visible light transmission rate of the lenses (i.e. the percentage of visible light that passes through the lens)
Polarized and photochromic ('Quickstep Polar RX') lens options
*
Smoke (VLT: 36/11%)
Brown (VLT: 36/10%)
"VLT" describes the visible light transmission rate of the lenses (i.e. the percentage of visible light that passes through the lens)
Do you want a mirror coating?
Yes
No
Choose a mirror coating
Red Mirror
Blue Mirror
Silver Mirror
YOUR RX DETAILS
Please complete this final section after you have completed your contact information and preferences above
Do you have an up-to-date prescription?
*
Yes
No
I don't have a prescription
Prescriptions should be less than two years old, and ideally very recent.
To provide an accurate quotation, we need to know your RX readings. If you do not have an up-to-date prescription (i.e. less than 2 years old), we would urge you to attend an optician for an eye exam. You may enter an older prescription here for quotation purposes on the proviso that the quotation may be amended later should your prescription readings change.
How would you like to send your prescription
I want to upload my prescription
I would like to enter my prescription
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If you have readings for Prism and Base, please enter these readings here. Otherwise, please leave blank.
Prism
Right eye
Base
Right eye
Prism
Left eye
Base
Left eye
How many PD (Pupillary Distance) numbers are on your prescription?
*
One
Two
Enter your PD reading here
Enter PD reading for your right eye
Enter PD reading for your left eye
Additional Information
We will reply to the email address you have entered above. During the week we endeavour to reply within 24 hours of receiving your form. If there are any further comments you would like to make, please enter them in the additional info field above and click 'submit'.
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