| THE TLERC WEB PAGE | ![]() |
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| THE TLERC WEB PAGE |
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Shipping/Mailing Address: C E O Address
T L E R C , Aubrey Linne, Operations Manager PDG O. Ike Fitzgerald
200 Plaza Street 2811 Golf Course Rd. Midland, TX 79701
MIDLAND, TX 79701 (432) 683-3611 (432) 682-7074
FAX: (432) 684-7674 FAX: (432) 684-7674
tlerc@attglobal.net eyeglassike@juno.com
Please ship the following order to: Phone ( ) _________________________
Organization:__________________________ Fax ( ) _________________________
____________________________________ email _______________________________
____________________________________ Contact Name: ________________________
Billing Address: Phone ( ) __________________________
____________________________________ Fax ( ) __________________________
____________________________________ email _______________________________
____________________________________
Our mission is to give glasses without cost to those missions who have a method of determining the refractive status of the eye, but you are responsible for SHIPPING EXPENSES.
1. Please reorder when count falls below 40 in a Quarter Diopter Inventory to bring count back to 50. Please allow at LEAST 30 days for shipment.
2. Date order submitted____________________ Date order needed____________________
3. Number of people expected to be served ________Mission Date ___________________
4. Location(s) of Clinic(s) ________________________________________________________
5. Services Offered: ______________ _______________ ____________ ____________ ____________
6. Number of Lions involved? ____________________________________
RECYCLED GLASSES (X = 50 pr [FULL SYSTEM] or # pair for Reorder) NEW READERS
SV+ SV- BF+ BF- (Special Order)
+0.25_______ -0.25_______ +0.25_______ -0.25_______ $7.20* doz. + shipping
+0.50_______ -0.50_______ +0.50_______ -0.50_______ (*price subject to change)
+0.75_______ -0.75_______ +0.75_______ -0.75_______ +1.00 ____ doz.
+1.00_______ -1.00_______ +1.00_______ -1.00_______ +1.25 ____ doz.
+1.25_______ -1.25_______ +1.25_______ -1.25_______ +1.50 ____ doz.
+1.50_______ -1.50_______ +1.50_______ -1.50_______ +1.75 ____ doz.
+1.75_______ -1.75_______ +1.75_______ -1.75_______ +2.00 ____ doz.
+2.00_______ -2.00_______ +2.00_______ -2.00_______ +2.25 ____ doz.
+2.25_______ -2.25_______ +2.25_______ -2.25_______ +2.50 ____ doz.
+2.50_______ -2.50_______ +2.50_______ -2.50_______ +2.75 ____ doz.
+2.75_______ -2.75_______ +2.75_______ -2.75_______ +3.00 ____ doz.
+3.00_______ -3.00_______ +3.00_______ -3.00_______ +3.25 _____doz.
+3.25_______ -3.25_______ +3.25_______ -3.25_______ +3.50______doz.
+3.50_______ -3.50_______ +3.50_______ -3.50_______ +3.75 ____ doz.
+3.75_______ -3.75_______ +3.75_______ -3.75_______ +4.00 _____ doz.
+4.00_________ -4.00 ________ +4.00 ________ -4.00 _______ New Readers Minimum
+4.25_________ -4.25________ +4.25________ -4.25_______combined order 30 dozen.
+4.50_________ -4.50________ +4.50________ -4.50_______
Limited Quantities (# Pair)
Cataract ________ Children ______ Recycled Readers ______ Shades ______
Cataract Shades _______ Cases
Large orders will probably be reduced to meet demands.
For training, equipment, or International Lions support, contact Ike Fitzgerald, For billing contact Francis McDonald, For orders & shipments contact Aubrey Linne and/or Bob Edwards.
It is manditory that you send us a report NLT three weeks after the conclusion of your mission stating the number of clients served and the number of glasses dispensed additional orders will be held until this report is received. TLERC ORDER FORM 12-28-04