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To become a Luzerne Optical customer, please complete the following information. You will be notified when your account has been set up---in approximately 5 business days.

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Owner's First Name:

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Buying Group:

Buying Group Account Number (if applicable):

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Credit Application:

To obtain a Luzerne Optical Credit Application, go to the top of the page and click on the "Login / New Account" tab, and then click “Credit Application"; or, you can Copy & Paste the link below into your browser and hit Enter:

Credit Application link: www.LuzerneOptical.com/pdf/luzerne-optical-labs-credit-application.pdf

If you are billing through a Buying Group that Luzerne Optical is a vendor for, there is no need to fill out the Credit Application.

If you are billing direct through Luzerne Optical please fill out the Credit Application.

Submission Instructions:

Please fill out the Credit Application ONLINE, then print out, sign and return via mail, email or fax to our office. We prefer the application to be filled out online (in text) rather than by hand. This will eliminate errors.

The application can be faxed to 1-800-525-5597 or 570-823-4299.
Or mail to:

Luzerne Optical Laboratories, LTD
P.O. Box 998
Wilkes-Barre, PA 18703-0998

or,

180 N. Wilkes-Barre Boulevard
Wilkes-Barre PA 18702-5341.

It can also be sent via email to vision@luzerneoptical.com. Thank you.

Type of Work to be Ordered from Luzerne Optical?

Edged & Mounted Work:

Uncut/Stock Lenses:

Frames & Sunglasses:

Low Vision Products:

GP - Gas Permeable Contacts:

Soft Contacts:

AR Coating:

Safety Glasses:

Binoculars, Telescopes, Riflescopes :

Optical Tools & Accessories:

Pharmaceuticals & Diagnostics:

Attention Mail Room, Please Send Me:

Spectacle Rx Order Forms:

Fax Spectacle Rx Order Forms:

Fax GP Contact Lens Order Forms:

GP Contact Lens Order Forms:

Fax Soft Contact Lens Order Forms:

Fax Stock Lens Order Forms:

Courier Return Labels:

FedEx Return Labels:

UPS A.R.S. Return Labels:

U.S. Post Office Postage Paid Mailing Labels:

Frame to Follow Tags:

U.S. Post Office Postage Paid Envelopes:

Zeiss AR Coating Envelopes:

Additional Information:

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TOP SELLERS

Lenses

New Varilux Comfort Enhanced Lenses

Free Form Lens Technology & Design

Frames

Nutmeg Optical

Contact Lenses

Boston Advance

PolyVue HDX Contacts

Coatings / Treatments

Anti-Reflective & Mirror Coatings, Treatments

Zeiss AR Coatings

Information

Mail

Current Promotions

1.	EmPower Net 90 Promotion!

2.	McGee Group XOXO "Admirer" Collection

3.	McGee Group XOXO "Gloss" Collection

4.	McGee Group Totally Rimless "Edge" Collection

5.	McGee Group Orvis "Colorado" Collection

6.	McGee Group XOXO "Intution" Collection

7.	McGee Group Orvis "Rogue" Collection

8.	Zeiss Lens / Transitions Lens Promotion

9.	McGee Group Vera Bradley "Kaya" Collection

10.	B.U.M. Equipment Lens Collection Promotion

11.	McGee Group Vera Bradley "Fun at Heart" Collection Promotion!

See promotional flyer(s) for details:. Current Optical Promotions

New Products

1.	emPower Electronic Eyewear / Frames / Glasses

2.	Varilux Xperio Lenses

3.	Polar365™ Polarized Lenses!

2011 New Product Anouncements

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