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Order NO: 2834

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

abc

Coating

Colour

Frame

SEG HT

Order NO: 2833

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

testing from comjoy info

Coating

Colour

Frame

SEG HT

Order NO: 2832

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2831

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2830

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. One day despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2829

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2828

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.67 Blue Cut Prograssive ARC. V.v.thin Must.

Coating

Colour

Frame

SEG HT

Order NO: 2827

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2826

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2825

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2824

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2823

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.61 PG Prograssive HC. V v. Thin must

Coating

Colour

Frame

SEG HT

Order NO: 2822

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2821

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2820

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2819

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive ARC.

Coating

Colour

Frame

SEG HT

Order NO: 2818

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC. 65 dia. V.v. thin must.

Coating

Colour

Frame

SEG HT

Order NO: 2817

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2816

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2815

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2814

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2813

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2812

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2811

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2810

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive ARC . V.v. urgent

Coating

Colour

Frame

SEG HT

Order NO: 2809

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2808

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2807

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. Rimless thicknesses. Same thik.

Coating

Colour

Frame

SEG HT

Order NO: 2806

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2805

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2804

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2803

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. urgent

Coating

Colour

Frame

SEG HT

Order NO: 2802

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC . V.V. URGENT

Coating

Colour

Frame

SEG HT

Order NO: 2801

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2800

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2799

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC . Rimless thicknesses

Coating

Colour

Frame

SEG HT

Order NO: 2798

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2797

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2796

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2795

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2794

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

UC PROGRESSIVE.

Coating

Colour

Frame

SEG HT

Order NO: 2793

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2792

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2791

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2790

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC . V v. Thin must

Coating

Colour

Frame

SEG HT

Order NO: 2789

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2788

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2787

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2786

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2785

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2 pair) Blue Cut Prograssive ARC. 70 Dia must . V.v. Thin must . V.v. urgent. One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2784

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2783

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive HC. V.v. thin must.

Coating

Colour

Frame

SEG HT

Order NO: 2782

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2781

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2780

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. thin must

Coating

Colour

Frame

SEG HT

Order NO: 2779

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2778

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2777

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2776

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2775

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2774

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Prograssive HC . V.v. urgent

Coating

Colour

Frame

SEG HT

Order NO: 2773

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2772

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2771

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. thin must. Same thik must. Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2770

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2769

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. Rimless thicknesses Must

Coating

Colour

Frame

SEG HT

Order NO: 2768

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.59Poly Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2767

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. thin must.

Coating

Colour

Frame

SEG HT

Order NO: 2766

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.59 Poly Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2765

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2764

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2763

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2762

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2761

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2760

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2759

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2758

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2757

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC. V.v. thin Must.

Coating

Colour

Frame

SEG HT

Order NO: 2756

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. urgent

Coating

Colour

Frame

SEG HT

Order NO: 2755

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2754

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2753

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC. V.v. urgent. One day despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2752

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.59 Poly Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2751

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC. Today despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2750

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2749

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC. Today despatch must. 70 Dia v.v. thins must. Big sunglasse

Coating

Colour

Frame

SEG HT

Order NO: 2748

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. V v thin must

Coating

Colour

Frame

SEG HT

Order NO: 2747

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2746

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. urgent one day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2745

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT ARC 'D' BIFOCAL

Coating

Colour

Frame

SEG HT

Order NO: 2744

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC.

Coating

Colour

Frame

SEG HT

Order NO: 2743

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2742

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2741

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC. One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2740

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2739

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Coating

Colour

Frame

SEG HT

Order NO: 2738

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Coating

Colour

Frame

SEG HT

Order NO: 2737

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

testing no

Coating

Colour

Frame

SEG HT

Order NO: 2735

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

testing

Coating

Colour

Frame

SEG HT

Order NO: 2732

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2731

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2730

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2729

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2728

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2727

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC . Supra thik

Coating

Colour

Frame

SEG HT

Order NO: 2726

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC .

Coating

Colour

Frame

SEG HT

Order NO: 2725

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive HC

Coating

Colour

Frame

SEG HT

Order NO: 2724

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. Thin must

Coating

Colour

Frame

SEG HT

Order NO: 2723

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2722

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC . V.v. thin must

Coating

Colour

Frame

SEG HT

Order NO: 2721

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. thin must.

Coating

Colour

Frame

SEG HT

Order NO: 2720

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut ARC D bifocal

Coating

Colour

Frame

SEG HT

Order NO: 2719

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. thin must. Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2718

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2717

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2716

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2715

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC. Rimless thicknesses. After cutting 3mm must.

Coating

Colour

Frame

SEG HT

Order NO: 2714

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2713

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Progressive ARC. V.v. urgent. One day despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2712

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2711

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. V.v. thin

Coating

Colour

Frame

SEG HT

Order NO: 2710

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2709

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2708

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2707

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2706

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2 pair) Blue Cut Prograssive ARC. One Day Despatch Must.

Coating

Colour

Frame

SEG HT

Order NO: 2705

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC. One day despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2704

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2703

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2702

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. thin must. Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2701

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. thin must. Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2700

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2 PAIR) BLUE CUT PROG ARC .V.VV. THIN MUST

Coating

Colour

Frame

SEG HT

Order NO: 2699

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2698

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. urgent. Blue Cut Prograssive ARC .

Coating

Colour

Frame

SEG HT

Order NO: 2697

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Rimless thicknesses CT thik 3mm must. Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2696

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v. thin must . Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2695

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2694

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2693

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2692

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2691

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2690

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2689

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

UC Progressive. One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2688

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2687

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2686

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2685

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2684

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

70 Dia must. Progressive ARC. V.v. thin

Coating

Colour

Frame

SEG HT

Order NO: 2683

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2682

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2681

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2680

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG BLUE HMC

Coating

Colour

Frame

SEG HT

Order NO: 2679

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2678

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC. Today despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2677

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

70 Dia must . Blue Cut Prograssive ARC. V v. Thin must

Coating

Colour

Frame

SEG HT

Order NO: 2676

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2675

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2674

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC urgent

Coating

Colour

Frame

SEG HT

Order NO: 2673

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2672

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2671

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Rimless thicknesses, CT thik 3mm must. PG Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2670

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2669

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC urgent

Coating

Colour

Frame

SEG HT

Order NO: 2668

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PROG UC. TODAY DESPATCH

Coating

Colour

Frame

SEG HT

Order NO: 2667

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2666

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2665

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Rimless thicknesses. CT thik 3mm must. Blue Cut Prograssive ARC.

Coating

Colour

Frame

SEG HT

Order NO: 2664

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2663

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Prograssive HC. Urgent

Coating

Colour

Frame

SEG HT

Order NO: 2662

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive Blue HMC. V.v.urgent

Coating

Colour

Frame

SEG HT

Order NO: 2661

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

UC progressive. Today despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2660

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

1.67 Progressive HC . PD 65, seg hit 20, dia 70 v.v.v.v.v. thin must.

Coating

Colour

Frame

SEG HT

Order NO: 2659

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2658

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2657

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2656

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2655

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC STK

Coating

Colour

Frame

SEG HT

Order NO: 2654

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2653

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2652

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC. V.v. urgent plz despatch today

Coating

Colour

Frame

SEG HT

Order NO: 2651

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2650

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2649

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2648

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive HC STK

Coating

Colour

Frame

SEG HT

Order NO: 2647

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2646

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Prograssive HC

Coating

Colour

Frame

SEG HT

Order NO: 2645

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2644

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2643

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2642

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2641

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2640

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2639

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2638

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Rimless thicknesses. CT thik 3mm must. Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2637

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

BLUE CUT PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2636

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.V.V YHIN MUST . BLUE CUT PROG ARC

Coating

Colour

Frame

SEG HT

Order NO: 2635

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

(2pair) Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2634

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2633

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Progressive UC . Today despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2632

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v.v thin must . 60 dia must. Blue Cut Prograssive Blue HMC.

Coating

Colour

Frame

SEG HT

Order NO: 2631

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

V.v.thin must . PG Progressive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2630

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue cut prograssive arc

Coating

Colour

Frame

SEG HT

Order NO: 2629

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Prograssive ARC. Rimless thicknesses CT thik 3mm must

Coating

Colour

Frame

SEG HT

Order NO: 2628

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2627

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Anti fog blue cut prograssive arc

Coating

Colour

Frame

SEG HT

Order NO: 2626

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

70 Dia . V.v. thin must. Progressive HC

Coating

Colour

Frame

SEG HT

Order NO: 2625

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2624

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive HC

Coating

Colour

Frame

SEG HT

Order NO: 2623

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue cut prograssive arc

Coating

Colour

Frame

SEG HT

Order NO: 2622

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2621

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Prograssive HC. V.v. urgent

Coating

Colour

Frame

SEG HT

Order NO: 2620

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Rimless thicknesses. Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2619

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2618

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2617

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive UC v.v. urgent. Today despatch must.

Coating

Colour

Frame

SEG HT

Order NO: 2616

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2615

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive Blue HMC

Coating

Colour

Frame

SEG HT

Order NO: 2614

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2613

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Prograssive UC . One day despatch must

Coating

Colour

Frame

SEG HT

Order NO: 2612

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

70 Dia. V.v. thin . Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2611

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2610

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2609

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

PG Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2608

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

CT thik 2.5 mm must. Rimless thicknesses. Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2607

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Blue Cut Prograssive ARC

Coating

Colour

Frame

SEG HT

Order NO: 2606

Status:

ZEPAS LENS ORDER FORM

Order No.

Ref No.

Order Date

Distributor Name

Retailer Name

Customer Name

Address

Eye Prescription & Lens Info

Lens Type	DIA	INDEX	Eye	SPH	CYL	AXIS	ADD
			R
			L

Remarks

Prograssive HC

Coating

Colour

Frame

SEG HT