First Sight Order Form


                                   Article          Picture        Description        Unit Price
          (In US$)		       QUANTITY
         of Order		    Total
  Amount
First Sight Sports Glasses/Childrens Kit 50 Frames, 100 Lenses, Eye Blocker, Lens Tree, Measuring Tape, Eye Chart $129.00 Total price  comes here as per          quantity
First Sight Stylish ROUND Frames For Adults and Children Kit 50 Frames, 100 Lenses, Eye Blocker, Lens Tree, Measuring Tape, Eye Chart $169.00 Total price  comes here as per          quantity
First Sight Stylish NARROW RECTEGULAR Frames For Adults and Children Kit 100 Frames, 200 Lenses, Eye Blocker, Lens Tree, Measuring Tape, Eye Chart $475.00 Total price  comes here as per          quantity
First Sight  – Our Latest Stylish WIDE RECTEGULAR Frames For Adults and Children Kit 100 Frames, 220 Lenses, 10 Sunglasses, Eye Blocker, 3 Lens Trees, Measuring Tape,3 Eye Chart, Pliers $695.00 Total price  comes here as per          quantity
First Sight Our Latest Stylish WIDE RECTEGULAR Frames For Adults and Children   $4.00 Total price  comes here as per          quantity
First Sight Stylish NARROW RECTEGULAR Frames For Adults and Children   $3 Total price  comes here as per          quantity
First Sight Stylish ROUND Frames For Adults and Children   $2.00 Total price  comes here as per          quantity
First Sight Sports Glasses/Childrens   $1.50 Total price  comes here as per          quantity
Non-Prescrition Sunglasses (Black)   $2.50 Total price  comes here as per          quantity
2024 Near Sight lenses
0 $0.75 Total price comes here as per          quantity
-1 $0.75 Total price comes here as per         quantity
-1.5 $0.75 Total price comes here as per         quantity
-1.75 $0.75 Total price comes here as per         quantity
-2 $0.75 Total price comes here as per          quantity
-2.25 $0.75 Total price comes here as per          quantity
-2.5 $0.75 Total price comes here as per         quantity
-3 $0.75 Total price comes here as per         quantity
-4 $0.95 Total price comes here as per         quantity
-5 $0.95 Total price comes here as per         quantity
2024 Far sight lenses  
1 $0.75 Total price comes here as per         quantity
1.25 $0.75 Total price comes here as per     quantity
1.5 $0.75 Total price comes here as per     quantity
2 $0.75 Total price comes here as per     quantity
2.5 $0.75 Total price comes here as per     quantity
3 $0.75 Total price comes here as per     quantity
4 $0.75 Total price comes here as per quantity
2023 Near Sight lenses  
0 $0.80 Total price comes here as per     quantity
-1 $0.80 Total price comes here as per     quantity
-1.5 $0.80 Total price comes here as per     quantity
-1.75 $0.80 Total price comes here as per     quantity
-2 $0.80 Total price comes here as per     quantity
-2.25 $0.80 Total price comes here as per     quantity
-2.5 $0.80 Total price comes here as per     quantity
-3 $0.80 Total price comes here as per     quantity
-4 $0.80 Total price comes here as per     quantity
-5 $0.80 Total price comes here as per     quantity
2023 Far Sight lenses  
1 $0.75 Total price comes here as per         quantity
1.25 $0.75 Total price comes here as per      quantity
1.5 $0.75 Total price comes here as per      quantity
2 $0.75 Total price comes here as per     quantity
2.5 $0.75 Total price comes here as per     quantity
3 $0.75 Total price comes here as per     quantity
4 $0.75 Total price comes here as per      quantity
Round Near Sight Lenses  
0 $0.80 Total price comes here as per         quantity
-1 $0.80 Total price comes here as per         quantity
-1.5 $0.80 Total price comes here as per          quantity
-1.75 $0.80 Total price comes here as per         quantity
-2 $0.80 Total price comes here as per         quantity
-2.25 $0.80 Total price comes here as per         quantity
-2.5 $0.80 Total price comes here as per          quantity
-3 $0.80 Total price comes here as per          quantity
-4 $0.80 Total price comes here as per         quantity
-5 $0.80 Total price comes here as per         quantity
Round Far Sight Lenses  
1 $0.75 Total price comes here as per         quantity
1.25 $0.75 Total price comes here as per         quantity
1.5 $0.75 Total price comes here as per         quantity
2 $0.75 Total price comes here as per         quantity
2.5 $0.75 Total price comes here as per         quantity
3 $0.75 Total price comes here as per         quantity
4 $0.75 Total price comes here as per         quantity
LENS TREE（Near/Far Sight) – 10 Lenses   $12.50 Total price comes here as per              quantity
LENS TREE （Near Sight) – 8 Lenses   $11.50 Total price comes here as per             quantity
LENS TREE （Far Sight) – 8 Lenses   $10.50 Total price comes here as per             quantity
Eye chart Near Sight   $1.50 Total price comes here as per             quantity
Eye charts far   $1.25 Total price comes here as per             quantity
Pliers   $10.00 Total price comes here as per               quantity
PD Measure – Set of TWO   $2.00 Total price comes here as per              quantity
10′ Tape Measure   $1.25 Total price comes here as per             quantity
Comfort Nose Pads (50 Pairs)   $1.25 Total price comes here as per             quantity
Tri-Fold Instruction (Also available on-line at No Charge)   $0.75 Total price comes here as per             quantity
Informational Brochure   $0.00 Total price comes here as per             quantity
Data Sheet (Also avaialvle on-live at No Charge)   $0.45 Total price comes here as per              quantity
             
  TOTAL ORDER (A)         Total price  comes here as per item   and              quantity      selected
  Shipping/Handling Charge (B)         $35.00          (fixed)
  TOTAL ORDER PAYMENT DUE         Total price   comes here (A + B)
             
 

Credit Card Payments

Name of the Card:

Card No: 

Expiration Date: 00/00/0000

CVS Code:

Billing Address:

Tel: 

          
  Check: Please mail the total amount to:
First Sight, LLC
Suite: 121
2614 Tamiami Trail
Naples, FL 34103, USA