E-Mail Address

Name

Company

Street

City

State/Province

Zip/Postal Code

Country

Telephone

FAX

Custom Lens/Mirror/Window Specifications

Upload drawing or picture: only .pdf, .jpg, .gif, .png file are accepted

Lens Type    Plano Convex
  Plano Concave
  Bi Convex
  Bi Concave
Focal Length    Back Focal Length    Radius of Curvature Diameter    Center Thickness    Edge Thickness    Diopter    Clear Aperture %   

Diameter or   
Length & Width   

Thickness   

Units of measure    Inches
  Metric

Flatness or Radius

Side 1      Flat
  Concave
  Convex

Side 2      Flat
  Concave
  Convex

Surface Quality (Scratch and Dig)

Side 1   

Side 2   

Coating

Side 1   

Side 2   

Safety Bevel

Side 1   

Side 2   

Edge Finish    Fine Grind (standard)
  Polished

Material    Fused Silica/Quartz
  BK7
  Pyrex
  Germanium
  Silicon
  ZnSe
  ZnS
  MgF2
  CaF2
  Other

Quantity  The quantity plays a significant role in the price of custom optics.

Additional Information