Period Glasses Order Form
Period Glasses Frame Only Styles
Frames Only
Pick Your Style
Frames and Lense
Pick Your Style
Please Tick (Frames only)
Posted to the (UK) £67.00 each
Posted to the (Overseas) £73.00 each
Please Tick (Frames and Lenses)
Posted to the (UK) £127.00 each
Posted to the (Overseas) £133.00 each
Please Read Notes
Please ensure that your (PD) Distance between left and right pupils are on your prescription. Ask your optician for this.

Prices include postage and packing, postage insurance for the UK only, If you would like postage insurance for overseas, please contact me for a quote

Please Note:
Fill in the above order form before using the paypal button. Check your detail before you submit your details, Thanks you.

If you are paying using the Paypal Cart, make sure you fill out the form first, then press the "Submit Button" before using the "Paypal Cart Button" Many Thanks

Sending Payment ViaBank Name: Nationwide Sort Code: 07-02-46 Account No:08371787
Please make cheques payable to:

Trevor Timms:
47 East Avenue, Nordley Hill, Wednesfield, Wolverhampton, WV11 1QE
Tel: 01902 827575 Mobile: 07830128451

Prescription Upload
Please Upload Your Prescription
Address To Send Your Spectacles
Full Name
Full Address With Postal Code
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