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JTL Custom TTL Loupe Order Form
Thank you very much for your order for the customized TTL Loupe.
Please fill out the order form below :)
Aaron Lee ☎+82 10-8946-8249
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* Indicates required question
JTL TTL TYPE LOUPE
Specialty
*
e.g. Dentist, Surgeon, Veterinary Professional
Your answer
Name
*
Your answer
Email Address
Your answer
Direct/Cell Phone Number
*
Your answer
Gender
*
Male
Female
Age
Your answer
Height
Your answer
Select a magnification
*
2.5X (Most frequently used magnification)
3.0X
3.3X
3.8X
5.0X
Select a frame style
*
JTN-12 Black
JTN-12 Blue
JTN-11 Black
JTN-11 Blue
Working distance
*
Please measure the working distance using a tape measure and fill it in.
Methods of
measurement
Your answer
If you wear glasses, please write down the prescription for your glasses below.
You can get a prescription for eyeglasses from your optician or ophthalmologist.
Your answer
Add a headlight?
Wireless Loupe Light JTLW01
Wired Loupe Light JTN22
Wired Loupe Light JT150
Clear selection
Special Instructions
Your answer
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