Dr. Harvey Mayers
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-ORDER CONTACT LENSES-

Now you can order your contact lenses on line. Simply fill in the form below and send it to us. We will contact you regarding payment and delivery/pick up options.

First Name:
Last Name:
E-Mail:
Phone Number:
Street Name & Number:
City:
Province:
Postal Code:
Lens Type:
Perscription Left Eye:
Perscription Right Eye:
Number Of Boxes:
 
 
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