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Contact lenses order form
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Contact lenses order form
To place an order, you must:
Have an active file at Optika Eye Care Center
Have had a eye exam within the last year
Have ordered the same type of lenses in the past
Get free shipping when purchasing a year of contact lenses.
First name
*
Last name
*
Email
*
Phone
*
Eyes
*
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Quantity
*
-- Select --
3 months
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1 year (free shipping!)
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