Online Ordering Form - Billiard Glasses By Curran Opticians

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Our eyewear is customized to be unique to the wearers facial needs, as well as their respective visual correction, we require a few pictures of the individual and a picture of the Rx. We fabricate all lenses on site at our office. Please read the information below before shopping for Rx Frames.

Important!!!

Note: All fields with an **** are a mandatory field. Forms won't go through otherwise.

Make sure to hit the submit button when you're finished. If mandatory fields are left unanswered, they will be circled in red.

Enter Promo Code Here (If You Have One) *

Patient's Name *

First

Last

Email *

Were you referred by anyone to us? If so, who? (Optional Question) *

First

Last

Date of Birth (MM/DD/YYYY) *

Phone Number *

Home/Shipping Address *

Line 1

Line 2

City

State

Zip Code

Country

Is Billing the same as Shipping Address?? *

Yes No

(If "No'", Please enter billing information below)

Billing Information: (Street, City, State, Zip, and Country) *

Click HERE to Read Our Rx Adaption Policy.

Enter Full Name (First and Last) *

Date (MM/DD/YYYY) *

I read and acknowledge William Curran & Son Opticians Rx Adaption Policy. *

Yes, I read and acknowledge the Rx adaption policy.

I grant permission for Curran Opticians to modify my Rx if necessary for Billiard Range (3-12 feet) visual correction. *

Yes, I agree.

I acknowledge that Billiard Glasses are Only to be worn when playing pool and will not be worn when driving or any other activity. *

Yes, I agree.

Which Eye is Your Dominant Eye? *

Right Eye Left Eye

How to determine which eye is your dominate eye.
- Extend either arm out in front of you and stick up your index finger with both eyes open.

Do You Shoot Right or Left Handed? *

Right Left

Shoots Right Handed

Shoots Left Handed

What Size Table Do You Usually Play On? *

Seven Foot Table Eight Foot Table Nine Foot Table

How are you submitting your Rx to Curran Opticians? *

My prescription is uploaded within the form. I will email my Rx shortly via the email address that is provided. (Email: billicurran2020@gmail.com) I don't have an Rx at this time, but I will email it to Curran Opticians (Email: billcurran2020@gmail.com) once I have my eyes examined and obtain my Rx.

Upload Photo Copy of Rx *

Max file size: 20MB

Additional information (Eye Disorders, Etc.) *

Send Us Four Photos (5 Optional) of Yourself (18-20 Inches Away)

Robin Dodson Demonstrates the Photos We Need When Ordering Billiard Glasses

1 photo with a standard size business card or license ID
(hold it horizontally under your nose with no eyewear on)

Photo Holding Card Under Nose *

Max file size: 20MB

2 photos without eyewear

No Eyewear #1 *

Max file size: 20MB

No Eyewear #2 *

Max file size: 20MB

1 photo with present eyewear (if you have a pair)

Current Eyewear (If Present) *

Max file size: 20MB

1 Photo When You Play So We Can See How You Line Up Your Shot (Optional)

Taking a Shot (Optional) *

Max file size: 20MB

Solid Black

Brown

Satin Gold

Blue

Silver and Black

Grey

Purple

Wine

Lens Shape: 'Backspin'

Lens Shape: 'Sport'

Lens Shape: 'Angles'

Lens Shape: 'Classic'

Lens Shape: 'Cue Ball'

Lens Shape: 'Cosmo'

Lens Shape: 'Diamond'

Interested in Digital Lenses? *

Yes No Not Sure....

These digital lenses for shooting billiards are digitally surfaced which gives the player zero distortion throughout the lens for even greater sharpness and visual acuity.
This is highly recommended for anyone who is serious about their game!!

Which Lens Type Do You Prefer? *

Single Vision | $178 - $278) (Digital Recommended for Strong Rx) Lined Bi-Focals ($278 - $378) Progressives: ($278 - $378) (Digital Highly Recommended) Note Sure.....

Interested in Personal Engraving *

Yes No Not Sure...

Enter Engraving Text *

Upload Your Design (If You Have One) *

Max file size: 20MB

Describe Artwork for Us to Design *

Take your custom made billiard glasses one step further by having a custom engraving etched into your lens or lenses.
An etching in your billiard glasses is a great show off piece for friends and excellent way to intimate your competition by having your billiard nickname, or logo that represents you!

- Upload your design or have us design an etching artwork for you! (Max Size: 5 mm)
- Etching; we can engrave text, or artwork into a lens.

Prices:
Text Only $90.00 (per pair) (character letter limits may apply)
Artwork $150.00 (per pair) (pt’s design)
Artwork $200.00 (per pair) (we design)

Etching: Is an extra step that cannot be rushed or changed once ordered or removed later on after purchase.
Licensing: We cannot accept any copyrighted artwork. However, we can make adjustments and design our own version of it to make it your own. Example: We can’t use a comic book logo, but we can modify it and place your initials in it instead.