Order Contact Lenses Online Please note, filling out this form is a request to order contacts online. We have your prescription on file. Just let us know how many boxes of lenses you need, and our office will follow-up with you regarding order details and payment options. Thank you. Location*--Please Select--Cherry GroveHarrisonMilfordName* First Last Email* Phone*Supply Needed*--Please Select--6 months12 monthsOtherClarify "other" if requiredAdditional Notes
