Order Contact Lenses

SPECIAL SAVINGS

FREE Shipping on ALL 1 Year Supply Orders*
*Qualifies for $50.00 off Sunglasses & 50% Off frame with purchase of eye glasses!

FREE Shipping 6 months Daily Disposable Orders

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(*)Patient's Name:

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Address 2:

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Please Use My Vision Plan/Insurance

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Eye Designs Contact Lens Dept. will verify your contacts lens prescription before placing your order.

() Right Eye*	() Left Eye*
Please note in here :	Please note in here :

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(Exactly as it appears on card)

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Shipping Address

Same As Above

(*)Name:

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Address 2:

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You will not be charged until the order is placed and insurance submitted.