Sight for All United in collaboration with Fitz Frames and Classic Optical

Protective eye wear or face shield orders

First Name *

Last Name *

Email *

Cell Phone Number *

Street Address *

Address Line 2

City *

State *

Zip Code *

Do you wear prescriptive glasses or contacts for distance ? *

Type of protective eye wear *

If Face Masks How Many?

Reason for protective eye wear *

Do You Have Access to an IPhone X or Higher *

COVID-19 Risk of Exposure *

Company *

Type of Business

Additional information

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