ORDER FORM Go to www.onlinereadingglasses.co.uk for latest pricing and products.
Title:	First Name:		Last Name:
Address:
County/State:			Post/Zip Code:
Country:		Email Address:
Enquiries/Comments:
Type	Colour	Dioptre	Quantity	Price
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
Subtotal				.
Discount (see below)				.
Delivery (£2.25 UK, £5 non-UK)				.
Amount Due				.
Discount: Order 2 or 3, get the lowest priced one for half price. Order 4 or 5, get the lowest priced two for half price each. Order 6, get the lowest priced three for half price each.
Please include payment with this order form. Payable To: Online Reading Glasses. Send To: Online Reading Glasses, PO Box 88, Darlington, County Durham DL1 2WZ, England.