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Customer Information (* - required)

Contact Person: *

Company Name: *

Phone: *

Fax:

Email: *

Street Address: *

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State: *

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Please check below either the Opticom website or computer system that you will be using to place orders.

Website Ordering:

Opticom Website

Computer System:

DVI Vision System
Innovations - Ocuco
CC Systems - Ocuco
Rx Universe - OMICS

Optifacts
Optivision
Vision Star
Visual Lab Pro
Other

Please enter your account numbers for the manufacturers/distributors that you wish to order from through Opticom (we cannot set up your account unless at least one number is entered):

Avalon Eyewear (frames):

BluTech Lenses:

Bristol Optical:

Canoptec (Essilor Group Canada):

Centennial Optical:

Chlogan Eyewear (frames):

Conant Lens:

CV Optics USA:

Essilor (Silor, Gentex, X-Cel, KBco):

Essilor (Varilux, Crizal):

Eyenavision (frames):

Eyewear Designs (frames):

General Optics USA:

Global Optics:

Hilco (frames, supplies):

Hoya Vision Care / Seiko:

Hoya Location (if Hoya customer entered):

iCOAT Company:

IOT Photochromics:

K-Mars Optical:

Kaenon Polarized:

Karun US:

Lab-Tech:

Lensco:

LTD Eyewear (frames and lenses):

Nassau Lens:

Nikon Optical Canada:

Nouveau Eyewear (frames):

Opti-Stock:

Optical Brands:

Opticote:

Resolution Lenses:

Rochester Optical:

SafeVision by Hoya:

Shamir Insight:

Shore Lens / Polycore:

Signet Armorlite:

SOMO Optical:

SY Global:

Thai Optical Group:

Titmus / Uvex / Honeywell (frames):

Vision Dynamics:

VISION EASE:

VSP Optics Group:

Younger Optics:

Zeiss Vision Care / AO Sola:

Zylowear Eyewear (frames):

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