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Get Order With Prescription Lenses Pdf Revision Military Form

With your optical prescription. To order your Hellfly Sunglasses with high-impact prescription lenses, please type the required information in the fields below. Once the form is complete, please print and fax to (802) 879-7224, or mail your order to: Customer Care, Revision Military Ltd., 7 Corporate Drive, Essex Junction, VT 05452. For your security, you cannot save this form once your data has been entered. To prevent losing your work, please print the completed form before closing this window.

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