Order

PLEASE FILL OUT THE FORM THEN REVIEW PAYMENT OPTIONS. SUBMIT THE FORM ELECTRONICALLY AND WE WILL BEGIN TO PREPARE YOUR ORDER. PRINT THE FORM AND MAIL IT TO OUR ADDRESS BELOW WITH YOUR PAYMENT. HERE YOU STILL HAVE THE OPTION OF PAYING BY PAYPAL IF YOU HAVE A CUSTOM ORDER OR SPECIAL REQUEST. ONCE YOU HAVE SUBMITTED THE FORM - RETURN TO THIS PAGE AND CLICK ON THE PAYPAL LINK AT THE BOTTOM OF THE PAGE. YOU MAY NOW PAY BY CREDIT CARD EVEN IF YOU DO NOT HAVE A PAYPAL ACCOUNT - JUST CLICK ON THE PAYPAL LINK AND FOLLOW THE INSTRUCTIONS. THANKS FOR YOUR ORDER

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

PAYMENT We prefer Paypal® at www.paypal.com

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
If you prefer to order by mail and pay by check, please print this form and mail to:

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

THE EYE PATCH STOREQUALITY EYE PATCHES FOR COSMETIC OR THERAPEUTIC USES

THE EYE PATCH STORE
QUALITY EYE PATCHES FOR COSMETIC OR THERAPEUTIC USES