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IF YOU PREFER TO PAY BY CHECK OR MONEY ORDER PLEASE COMPLETE THE FOLLOWING FORM, PRINT AND INCLUDE WITH YOUR PAYMENT. CHECK AND MONEY ORDER PAYMENTS ARE HELD UNTIL CLEARED BY OUR BANK.  POSTAL MONEY ORDERS ARE SHIPPED SAME AS CASH.
 
ALL INTERNATIONAL PAYMENT MUST BE MADE IN U.S. DOLLARS. MAIL YOUR ORDER TO THE ADDRESS BELOW.
 
 
 
 
 

 

The fields marked with (*) are required fields.

*
First Name
 * required

*
Last Name
 * required

*
Street Address
 * required
 
Apartment

*
City
 * required

*
State
 * required

*
Zip or Postal Code
 * required
 
Country

*
Size

*
Shape / Style

*
Which eye do you wear your patch over?
 
Special Instructions

*
Email Address
 * required

*
How would you like to Pay
 


We are occasionally asked if we take phone orders or credit cards directly. We apologize, but as a small “cottage business”, simply do not have the time or resources to handle phone orders. However, you can now pay by credit card through paypal.

Please order with care. Due to the nature of our product, we cannot offer refunds. However, we will exchange if you order the wrong size and return the unworn patch within seven days.

Thanks for understanding.

If you have a question please contact us and we'll be happy to answer promptly.

EMAIL US

Please print this form and mail with your payment to:

EPS - Deb Allen
P.O. Box 870771
Stone Mountain, GA. 30087