Complete Your Account Setup

Business Name/Practice Name(Required)

This field is hidden when viewing the form

Founders Optical Account Number

Shipping Address(Required)

Practice Phone Number(Required)

Lab Contact Full Name(Required)

Lab Contact Phone(Required)

Lab Contact Email (Optical Contact)(Required)

Billing Contact Full Name(Required)

Billing Contact Email(Required)

Billing Address (if different than Shipping address)

Order/Job Type(Required)

Edged

Uncut

Both

Other Notes/Questions

Do you have a tax exemption for prescription eyewear?(Required)

Yes

Please upload exemption form here.(Required)

Max. file size: 50 MB.

All Neurolens complimentary staff voucher orders must be processed through Founders Optical Group
Founders Optical Group is a Neurolens Partner lab and operates under Neurolens Global quality standards, pricing and lab policies as stated.
All Founders Optical orders must be submitted electronically through SpecCheck Ordering Platform
All Founders Optical lab statements will be available on SpecCheck platform and all lab payments will be made through SpecCheck Lab Pay platform
All Founders Optical customers that enroll in auto-pay through the SpecCheck platform will receive free shipping
All Founders Optical customers not enrolled in auto-pay through the SpecCheck platform will be billed a per box shipping charge. Any outstanding balance beyond the 30 day terms will be assessed a 2% finance charge each month.

Acknowledgement(Required)

I acknowledge and accept the terms as stated above.

CAPTCHA