Order contact lenses Our office provides two convenient ways of ordering Contact Lenses. You can either phone our office (604) 922-6511 or fill out the form below. Our staff is ready to assist you. All the fields followed by a * are mandatory. Referred byTitleMrsMissMrFirst Name*Last Name*Phone* ((###)###-####)Email* Date of birth* When was your last eye exam? Type of lenses required*Please name the product.Eyes*LeftRightBothQuantity1 year6 months3 monthsOr number of boxesMessage / CommentsNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.
