NUS Contact Lens Sponsorship Form

First name

Last name

Phone Number

Email

Shipping Address

Type of Lens

Left Eye Power:

Choose an option-0.00-1.00-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00-6.50-7.00-7.50-8.00-8.50-9.00-9.50-10.00-10.50-11.00-11.50-12.00

Right Eye Power:

Choose an option-0.00-1.00-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00-6.50-7.00-7.50-8.00-8.50-9.00-9.50-10.00-10.50-11.00-11.50-12.00

Clear (Dailies) Power Range-1.00 to to -5.00D (in 0.25 step), -5.50D to -12.00D (in 0.50step)
Color (Monthly) Power Range-0.00, -1.00 to to -5.00D (in 0.25 step), -5.50D to -8.00D (in 0.50step)

Message

Given the high volume of sponsorship requests we receive, please anticipate a delay in our response to your submission. Thank you for your patience.

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