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Customer Registration


Ordering and purchasing from Classique Eyewear is LIMITED EXCLUSIVELY to registered optometrists, ophthalmologists, opticians and approved retailers.

To request an account, please complete the form below.

If you are experiencing problems logging in, please call our toll free number 866-604-5700.


Practice Name:
Doctors Name:
Your First Name:
Your Last Name:
Create Password:
Confirm Password:
E-mail:
Business Address:
 
City:
State:
Zip:
Country:
Phone:
Fax:
Classique Account # :
Federal Tax ID (EIN) :
Sales Rep Name :