CONTACT LENS

Product Code
BaseCurve		Category
Diameter		Type
Power		Color
Quantity		Price
		VAT%	%

Customer Name:
Address:
Phone :
e-Mail* :
Remarks*:

The Price of the product is Rs

Cash       Details:

Cheque/DD Post   Type: Cheque Demand Draft  Type: VPP      Bank:   Amount: No:     Amount:          Date: