RX Quotation Request - LiP Watersports Sunglasses

YOUR CONTACT DETAILS

First Name *

Email *

Email

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Address *

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City

State / Province / Region

Postal Code

Country

Cell Phone # *

PREFERENCES

More options will appear as you progress through the form

Which Watershades RX model do you require a quotation for? *

Choose a Surge frame colour *

You will choose your lens preferences below

Choose a Typhoon frame colour *

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 *

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 *

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

File Upload

Click or drag a file to this area to upload.

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Right eye

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Right eye

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Right eye

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Right eye

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Left eye

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Left eye

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Left eye

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Left eye

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
I do not have my PD reading

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'.