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Full Name Phone No. / Whatsapp No. Address (Please Provide The Street Name) (Please Provide The City Name) (Please Provide The Postcode) (Please Provide The State Name) Take a picture of Purchase Receipt with the Product Box (Any Maxvue Vision Brand) Take a picture of Payment Receipt for shipping cost (RM8) Bank: CIMB BANK Bank Name: MAXVUE VISION SDN BHD Bank Account: 8601111075 Left Power -0.50 to -6.00 (0.25 steps) -6.00 to -15.00 (0.50 steps) Right Power -0.50 to -6.00 (0.25 steps) -6.00 to -15.00 (0.50 steps) I agree to Terms and Conditions.