Contact Lens Reorder Form

We will confirm your order and call if we have any additional questions.
Shipping costs:

  • Standard: $5.95
  • 2nd Day: $12.00
  • Next Business Day: $ 18.00 - $25.00

 

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Email Address:
(for order confirmation)
Special Instuctions:
 

Stop in and let us show you how we have been helping people just like yourself "See clearly since 1943"