Please fill out and submit the form below for re-order. We offer full exchange warranty on all one-year supply of contact lenses, and free shipping and handling on all online contact lens orders.

Name:
Email Address:
Phone Number
Street address/apt. # (New customers only)
City and Province/State (New customers only)
Country (New customers only)
Please tell us any information you know about the product you are looking for: (Product name, approx. last date purchased)