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Hoya Lens UK Ltd
Europe: United Kingdom, Wales, Clwyd, Wrexham
overall: 296 mm x 212 mm
Order form for practitioners to obtain a brand of ophthalmic lens to a prescription, size and frame shape. A4 portrait format, printed in blue, black and red, on one side only of a single sheet of paper (part originally of a tear-off pad of sheets) with white carbon copy beneath.
Gift of Mr Andrew Gasson FCOptom, 2011