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S&H FAQ's

Name:  

Credit Card Billing Address:

 City

State  Zip 

Shipping Address:  

City, State/Province, ZIP:  

E-Mail Address:  

Phone: (if I have any questions):  

Patch#

Size    

Band inches

Band width:

   Quantity:     

   Amount

 

 

 

 

 

 

 

 

 

 

 

 

Both eyes  Right eye:  Left eye:

Total: 

 

                        

*Shipping/Handling

 

                           

Grand Total

 

Credit Card users:  Fill out order  -  Print  -  Then enter Credit Card information

      Please Charge my:   Visa     Master Card

Credit Card already on file? here and sign: ______________________________

Credit Card orders can be mailed or faxed

Fax #: 1-918-343-2718 or mail to Eye-Grafx - P.O. Box 2433 - Claremore, Ok 74018

Make checks payable to: Eye-Grafx  

*S&H  $00-$30 = $6.00      $31 & up shipping is Free

Child

2 1/2"W X 2" H

X-Small

2 ¾ “ W X 2 1/4” H

Small

3" W X 2 1/2" H

Medium

3 1/4" W X 23/4" H

Large

3 ½” W  X 3” H

To Estimate Patch Size

Click here 

Both small size and 1/8" elastic are the two most popular sizes. The large will only fit someone with a large stature

Elastic band adjusts to fit your face perfectly!

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                                      Eye-GraFX Custom Eye Patches
                                    Last modified: 05/02/08
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