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Home » Our Services » Low Vision » Low Vision Aid Store » Order Form Full Spectrum Lighting

Order Form Full Spectrum Lighting

For online payments, pay via the PayPal link before filling out the order form.


Customer Name


  • Select the low vision aides that you would like to order.
  • Shipping will range from $10-$75, depending on weight and destination.
  • This field is for validation purposes and should be left unchanged.



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