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      Find out which product is best for you. FREE Trial Pair CertificateDiscover the Power of Colours™ from Acuvue® 2 Colours™Click Here to get your Free in-office trial pair certificateGet Your $30 Rebate Offer Here!

  To purchase Contact Lenses fill out the form below (We carry most major brands including Ciba, Acuvue, B&L, Cooper Vision, Ocular Science, Boston, etc):                                                      

 

Filling out the form below will send e-mail directly to our Office!

What's your name?

What's your address?

How can we reach you? (phone, cell, pager)

Your e-mail address?

Are you a current patient at our office?
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Check all the following that applies:
Please order the right contact lens. Specify quantity:
Please order the left contact lens. Specify quantity:
Order for both eyes. Specify quantity:
Order Complete Bulk Pack for $50 and $10 rebate. Specify quantity:
Order Aosept Bulk Pack for $21. Specify quantity:
Charge to my credit card on file. Please file my vision insurance claim.

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