905-655-6236
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Order Contact Lenses

Home » Order Contact Lenses

If you would like to place an order for contact lenses, please complete the following form. We will be happy to mail them to you or you can pick them up at our office. One of our staff will call you to confirm your order.  

All the fields followed by a * are mandatory.

Title: 
 
First name*
 
Last name*:
 
Date of birth: 
 
Day time Phone*
 
E-mail*
(for confirmation email only, will not be given to a third party)
 
When was your last eye exam? 
An annual eye exam is recommended to all contact lenses users.
 
Type of lenses required* Name of product:  
 
  Right Eye Left Eye
 
  Quantity:  1 year  6 months  3 months
 
  OR number of boxes:
 
Comments:
 
Would you be interested in being kept informed of Whitby Eye Care promotions, offers or updates? Yes No
 
 


*Enter code:
 

locationLocation
Whitby Eyecare

4091 Thickson Rd. N, Unit 2, Whitby, ON, L1R 2X3, CA


Tel: (905) 655-6236

Email: dr.r.fernando@gmail.com


locationHours of Operation:

Monday: 9:20 am - 7:00 pm
Tuesday: 9:20 am - 7:00 pm
Wednesday: 9:20 am - 7:00 pm
Thursday: 9:20 am - 7:00 pm
Friday: 10:00 am - 5:00 pm
Saturday: 9:00 am - 4:00 pm
Sunday: 9:00 am - 2:00 pm


Copyright (c) 2014 Whitby Eye Care

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