PLEASE POST TO: NAME:

SPECS-BY-POST LTD E-MAIL:

PO BOX 689 ADDRESS:
ROTHERHAM
STH YORKS POSTCODE:
S66 6AR HOME PHONE No:
MOBILE No:
TEL: 01709 769 402 WORK No:

ALL SPECTACLES ARE GLAZED AT YOUR OWN RISK

Please note: we have the right to refuse glazing upon inspection

I USE MY GLASSES FOR: Distance / Far Vision

Reading / Close Work
LENS PRICES ARE PER PAIR OF LENSES Intermediate / Computer
Bifocals
COMPLETE THIS SECTION IF YOUR FRAME IS FULL-RIMMED OR SEMI-RIMMED
Single Vision (std) hardcoated £10.00
Single Vision (std) hard anti-reflection coated £22.00
please circle grey brown Single Vision (std) Transition hardcoated £45.00
please circle grey brown Single Vision (std) Transition hard anti-reflection coated £57.00
Single Vision (1.59) Ultra thin & strong hardcoated £20.00
Single Vision (1.59) Ultra thin & strong hard anti-reflection coated £32.00
please circle grey brown Single Vision (1.6) Ultra thin & strong Transition hard anti-reflection coated £100.00
Single Vision (1.67) Extra thin & strong hard anti-reflection coated £47.00
please circle grey brown Single Vision (1.67) Extra thin & strong Transition hard anti-reflection coated £135.00
Bifocal (std) D28 hardcoated £37.50
Bifocal (std) D28 hard anti-reflection coated (approx 1 working week) £57.50
please circle grey brown Bifocal (std)D28 Transition hardcoated £100.00
please circle grey brown Bifocal (std) D28 Transition hard anti-reflection coated (approx 7-10 days) £120.00
Bifocal (1.59) D28 Ultra thin & strong hardcoated (approx 7-10 days) £60.00
Bifocal (1.59) D28 Ultra thin & strong hard anti-reflection coated (approx 7-10 days) £80.00
please circle grey brown Bifocal (1.59) D28 Transition Ultra thin & strong hardcoated (approx 7-10 days) £120.00
please circle grey brown Bifocal (1.59) D28 Transition Ultra thin & strong hard anti-reflection coated (7-10 days) £140.00
COMPLETE THIS SECTION IF YOUR FRAME IS RIMLESS (holes drilled through the lenses)
Single Vision (1.59) Ultra thin & strong hardcoated £30.00
Single Vision (1.59) Ultra thin & strong hard anti-reflection coated £42.00
please circle grey brown Single Vision (1.6) Ultra thin & strong Transition hard anti-reflection coated £105.00
Single Vision (1.67) Extra thin & strong hard anti-reflection coated £57.00
please circle grey brown Single Vision (1.67) Extra thin & strong Transition hard anti-reflection coated £145.00
Bifocal (1.59) D28 Ultra thin & strong hardcoated £70.00
Bifocal (1.59) D28 Ultra thin & strong hard anti-reflection coated (approx 7-10 days) £90.00
please circle grey brown Bifocal (1.59) D28 Transition Ultra thin & strong hardcoated £130.00
please circle grey brown Bifocal (1.59) D28 Transition Ultra thin & strong hard anti-reflection (approx 7-10 days) £150.00
IMPORTANT: we cannot apply tints to lenses with an anti-reflection coating
Tints are a permanent colour, if you require lenses that Solid (same colour depth all over the lens) £10.00
change colour choose a Transition option from above Graduated (darker at the top of the lens - lighter at the bottom) £15.00
IMPORTANT: we cannot apply graduated tints to 1.59 Ultra thin lenses
Please circle the tint colour and density you require
Brown Grey G15 Green Blue Pink Yellow
Pale 20% 20% 20% 20% 10% 10%
Light 40% 40% 40% 40% 30% 30%
Moderate 60% 60% 60% 60% 50% 50%
Sunspec 80% 80% 80% 80% N/A N/A
POSTAGE Royal Mail 1st Class Recorded signed for (covered up to £50) £5.80
we only charge x1 postal fee for Royal Mail Special Delivery (covered up to £500) £8.25
your complete order Royal Mail International signed for (Includes Ireland non BT postcodes) *From £13.55
*International prices are from £13.55 depending on country, size and weight
SUMMARY: LENS £
EXTRAS £
POSTAGE £
TOTAL £

N.B. if you are sending your own frames to us via Royal Mail 1st Class signed for or if you choose to have them returned
to you by this method the insurance cover given by Royal Mail is limited to £50.
If your frames are more valuable then we would suggest using Special Delivery(£500 cover) or taking extra insurance.

Important - This form cannot be used to order reglaze for Varifocals - please phone for a quote
METHOD OF PAYMENT: Cheque or Postal Order (made payable to Specs-By-Post Ltd)
Credit / Debit Card not AMEX (we will phone you upon receipt of your order)
Paypal (we will request via email upon receipt of your order)
( Paypal address:...............................................................................................)

YOUR PRESCRIPTION
RIGHT LEFT
SPHERE CYLINDER AXIS SPHERE CYLINDER AXIS
DISTANCE DISTANCE
NEAR NEAR
ADD ADD

PLEASE INCLUDE A COPY OF YOUR PRESCRIPTION IF POSSIBLE

PD (pupillary distance - the measurement between your pupil centres)

If the glasses sent have your old prescription lenses in we can duplicate the measurement from them, please advise
if they are currently your own or not (does not apply if the frame is brand new)

(Average is 63mm - male & 61mm - female)

If you have your own PD measurement please supply it here PD = mm

Other Information:

IMPORTANT: All prices given cover the following highest total combined powers
if unsure please contact us:- 01709 769 402

SPHERES -6.00 TO +4.00

CYLINDERS -2.00 TO +2.00

If your prescription falls outside these parameters, please call us for a quote

Below is an address label for you to attach to your parcel:

Please note: This PO Box number can only be used for parcels send via Royal Mail. If you use a different carrier please send to:
The Granary, Fishpond Lane, Braithwell, Rotherham, S66 7AA

SPECS-BY-POST LTD
PO BOX 689
ROTHERHAM
STH YORKSHIRE
S66 6AR