Order Form      

Click on form - print- complete and fax.
1-952-403-7900 -fax

ORDER FORMS FOR EYE CARE PROFESSIONALS ONLY

 to download free adobe reader click above

 

  • Eye Professionals Fax Order Form
  • Optics Only Order Form / Prisms & Aspherics
  • MYI Occlusion Eye Patch Order Form - Professionals 
  • Perfect Patch Order Form - Professionals


    FOR PURCHASE BY NON-EYE CARE PROFESSIONALS


  • General Public - call 1-800-544-4760 to inquire about availability and pricing or visit www.myipatches.com

  • MYI Occlusion Eye Patch Order Form - GENERAL PUBLIC
  • Perfect Patch Order Form - General Public
  • - Perfect Patch
    - Books
    - Julbo Children's Sunglasses
    - 3M Press-On Optics - Aspheric Lenses and D-Segs
    - Bangerter Occlusion Foils

    Note:  Please provide complete information when completing forms. Without complete information we will contact you to confirm shipping information and collect credit card information. Thank You

    RETURN MERCHANDISE AUTHORIZATION (RMA)
    All returns must be authorized by The Fresnel Prism and Lens Co. prior to returning - please contact us at 1-800-544-4760 to receive a RMA number which must be noted on a copy of the invoice for the merchandise being returned.  RMA’s are valid for 30 days from date of issue.  Unauthorized returns will be refused and returned.  

    3M Press-On Optics have expiration dates clearly noted on the back of the sleeve, these dates are 3 years from the date of manufacture and as such stock rotation and appropriate ordering of the Optics is imperative to prevent “old” stock from being used with patients.  3M will only honor and replace defective Press-On Optics within the expiration period.  Due to this policy, we are not able to accept or replace expired 3M Press-On Optics even if they are noted as becoming “unusable”.

     

    N LINE ORDERING NOW AVAILABLE
    FOR PRODUCTS OFFERED TO
    GENERAL PUBLIC ONLY
    MOST ORDERS RECEIVED BY 2:00 PM
    CST ARE SHIPPED THE SAME DAY.
    EXPRESS MAIL ORDERS MUST BE
    RECEIVED PRIOR TO 2:00 PM CST TO BE

    Our office hours are 7:30 am to 4:00 pm cst M-F

  • 1-800-544-4760
  • 1-952-496-0432
  • 1-952-403-7900 -fax

  • Fresnel Prism & Lens Co.
    6824 Washington Ave.S
    Eden Prairie, MN  55344
    email:  



    Press on Prism

    NEW PRODUCTS AVAILABLE


    Home  |  About FPL  |  Products  |  New!  |  Adult Night Glasses  |  Int. Dealers  |  Links  |  Meetings  |  Services & Shipping  |  Contact  |  Holiday  |  Order
    Fresnel Prism & Lens Co. | 6824 Washington Ave. S, Eden Prairie, MN 55344 | E:
    @2012 Copyright. Fresnel Prism & Lens Co. All Rights Reserved. Design by Esultants.    
    Powered by: Amiro CMS