Order Form (GEO lens)

ORDER FORM *required (please fill in)

Name : *


Please indicate your sex:

Male

Female

Contact number : *


Address : *


Postcode : *State : *


E-mail address : *


**Order GEO products, please type the product name or code inside the box.

eg : Code (power deg- L/R ) , CH-621 (-250/-250)

Payment : MayBank (bank in)


Go through with our Terms and Conditions: *

**P/S: No Cancellation of orders after you have submitted the Order form.
I Accept

** Our order form having some problem, sorry about that~

Please send your order though email to ykyshinn@gmail.com . Thanks for you co-operate :)