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Free lens casing for Spree #10!!

Limited to one casing per pair

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Info on lens

† Opening of Vial
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Order Form

*Questions marked with an asterisk are required to be filled in, or they are not to be taken into account. :)**
SPREE #9
*Brand of lens	Geo Super Barbie/ Luxury Dueba
*Name:
*Email Address:
*Address: (Please double check and make sure it is the right address)
*Description: Include Item Name/ Code, Colour and Quantity
Who referred you?
*Collection Method
Payment method?
Only fill in the following if you have transferred payment!
Amount Transferred ( total + postage )
Reference No. :
Date & Time of Transaction ( e.g. 06Sept2010/16:28 ) :
I-bank Name
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