Sph (R)*:
Cyl (R)*:
Axis (R)*:
Add (R)*:
<hr> <span class="shapp-pd">It is VERY important to enter your + or - sign correctly.</span>
Sph (L)*:
Cyl (L)*:
Axis (L)*:
Add (L)*:
<hr> <span class="shapp-pd">It is VERY important to enter your + or - sign correctly.</span>
Pupillary Distance (PD)*:
<span class="shapp-pd">If you're not sure what your PD is, or how to work it out, please see our <a href="http://as-opticians.myshopify.com/pages/frequently-asked-questions" target="_blank">FAQs</a></span> <hr>
Notes about your prescription:If you have any additional notes about or on your prescription enter them here.:
<hr> <span class="shapp-pd">The person wearing the glasses is over 18 years old and is not registered blind or partially sighted, the prescription is not more than two years old or one year if the person is aged over 70, and the prescription details have been entered correctly. I have read and agree to the <a href="http://as-opticians.myshopify.com/pages/terms-of-service" target="_blank">terms & conditions.</a></span>