Lens Modification Quote Request Form – Step 1 of 2

Please complete the form below to request a quotation for a customized lens. First, type the stock number of the off-the-shelf lens that is the closest match to your requested item so that it may be used as a reference lens. Next, select the required anti-reflection or reflection coating. After, fill in the finished part diameter and check the box if edge blackening is needed to decrease stray light. Lastly, please provide the requested quantity, information about the application, and any additional requests or notes.

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Stock number is required
Please specify a valid quantity.
Please specify if these products will be used in a defense, weapon, or nuclear application and/or should they be subject to U.S. ITAR controls.
Please specify if your application includes items that are for Dual Use or under Export Control
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*Reference Lens Stock Number:

Anti-Reflection Coatings:

Reflective Coatings:

Finished Part Dimensions:

Edge Blackened:

*Quantity:

*Will these products be used in a defense, weapon or nuclear application and/or should they be subject to U.S. ITAR controls?

*Does your application include items that are for Dual Use or under Export Control?

In what type of application will these products be used?

Comments/Notes

*Required

Typical Finished Part Specifications
Modified Dimension Tolerance	±0.1mm
Surface Quality	80-50
EFL	Based on the product selected.
Beam Deviation	3-5 arcmin
Clear Aperture	80% of outer dimension
Irregularity (Plano/Spherical)	Based on the product selected.
Bevel FW Tolerance	MIN = NONE, MAX = 0.5mm
Bevel Angle Tolerance	@45° ±15°
Edge Chips	≤0.5mm outside the clear aperture

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Custom Optics Manufacturer | Custom Optics Manufacturing | Edmund Optics / Modified Standard / Lens Modification Quote Request Form – Step 1 of 2

Lens Modification Quote Request Form – Step 1 of 2