Contact Lens Online Order

Important Information

All new customers must first have an eye examination to determine prescription and fitting requirements.  If you have already had an eye examination elsewhere, kindly ensure you have all of your prescription and fitting details at hand.  Please complete the form below. If you have any questions regarding the form, ask us to call you in the "Comment" section below. We will contact you by telephone to discuss your order. We will give you a call when your order is ready for pick up. Thank you.

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$30 / 6 pack


$45/ 6 Pack


 Air Optix
$35 / Box


Focus Dailies
$35/ 30 Pack
$75/ 90 Pack

Pro Clear
$45 / 6 Pack


$45/ 6 Pack


 1 Day Moist
$30/ 30 Pack
$75/ 90 Pack

$75/ 12 Pack
$120/ 24 Pack

* Required fields
Name *
E-mail Address *
Daytime Phone Number *
Cell Phone
Best Time to Contact *
Street Address *
City, Prov & Postal Code *
Bausch & Lomb
Johnson & Johnson (Acuvue)
Number of Boxes - Right Eye
Number of Boxes - Left Eye
Power (Right Eye)
Power (Left Eye)
For Astigmatism, Enter Cyl & Axis, Left & Right Eye
For Multi-Focus, Select Added Power
Colour (Leave blank if not applicable)
Comments, Questions, Additional Information

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