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Please fill out the form below, entering the date and time that you would like to have an appointment. We will then get in to contact with you, using either the email address or phone number entered on the form to confirm the appointment booking or to arrange a booking at an alternate time.

PLEASE NOTE: We cannot guarantee that an appointment will be available on any particular date and time. Your appointment will only be valid after you have received confirmation.

Appointment Date:

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

Every month we mail out interesting articles related to eye care and products. If you would like to join our newsletter, fill in your details below and we will add you to our mailing list.

Join our Newsletter? Yes, I want to receive your monthly newsletterNo

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