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Contact Lens Order

Contact Lens Order

     

     

    Select your lens brand

    Daily

    Weekly

    Monthly

    How many boxes?

    I am in possession of a valid prescription YesNo

    Please note it may not be older than 12 months.

    LEFT LENS

    BaseCurve

    Sph

    Cyl

    Axis

    Add

    RIGHT LENS

    BaseCurve

    Sph

    Cyl

    Axis

    Add

    How will you be paying for the contact lenses?Medical AidCash/Credit Card

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