Thank you kick starters, for backing this project.

Please bear with us if some

of the details required here looks repeated. Due to the nature of the custom
modular project it is important we get all the factual details right. We want to
ship you the correct product.

Name:
Address:

E-Mail
Telephone
Number
Backer/order
number
Special
Instructions if any

Section1 Frame Choice selection (TICK ONE BOX

ONLY)
Frame Selection: Choose one by ticking the box
Colour: Matte Black

V4 matte black(square profile)

Measurements

V41 Matte Black (Wayfarer Profile)

we will follow the lenses of your

Section2 by selecting your frame choice,

choice meant f or the frames (TICK ONE
BOX ONLY)

Polarized Black
UV400

Polarized Ruby Fire

UV400

Polarized Green
UV400

Polarized Blue
UV400

Z87.1 Ruby Fire

UV400

Yellow Night Vision

Indoor Gamers Lens

Blue Blocking (400 to
470)

Section 3 Choose one arc arms (TICK ONE BOX ONLY

Matte White with gold Nuke Icon

Matte Black with Silver Nuke Icon

Arms measurement