Get Form-pvt2 Purevision Toric Trial Order Form Fax Order To

Filling out the FORM-PVT2 PUREVISION TORIC TRIAL ORDER FORM requires attention to detail to ensure accurate processing of your order. This guide provides clear, step-by-step instructions for completing the form efficiently and effectively online.

Follow the steps to complete your order form accurately.

1. Press the ‘Get Form’ button to access the order form and open it in your document editor.
2. Fill in your account number in the designated field to identify your account.
3. Enter the date of the order in the space provided. Use the format MM/DD/YYYY.
4. Input the account name clearly, ensuring it matches the name associated with the account.
5. Include a contact phone number. This should be a number where you can be reached for any follow-up questions or confirmation.
6. Select the appropriate state from the list to categorize your order by location.
7. Provide the ZIP code corresponding to the address associated with your account for proper delivery.
8. Indicate your desired AXIS value by selecting one from the available dropdown options.
9. Specify the POWER by choosing the correct value that suits your prescription from the listed options.
10. Select one cylinder value per order from the options provided, ensuring you choose only one.
11. Enter the fax number you would like the order to be sent to, ensuring it is accurate to avoid miscommunication.
12. Review the entire form for any errors or missing fields before finalizing your submission.
13. Once completed, you can save your changes, download the filled form, print it out, or share it via fax to complete your order.

Complete your FORM-PVT2 order online today to ensure timely processing of your trial lens request.