Place Your On-Line Order...

On-Line ordering is currently available only for our existing patients.
Please fill in the form below and we will contact you - we can make arrangements for payment over the telephone.

First name: Last Name:
Phone Number: Daytime Phone or Mobile:
Email:
Address:
City:
Postal Code:
Province:
LENS INFORMATION:


Any additional information you would like to share with us or you think we should know about...Please Feel Free.

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