Your Contacts, Delivered to Your Door!

Name *

First Name

Last Name

Patient Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

####

Shipping Address

This is where your order will be shipped to. Not required if selecting In-Store Pickup.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supply Size *

Please select one of the following options. Some brands may have minimum box sizes and we will notify you if applicable.

12 Month Supply [Best Value & Eligible for Manufacturer Rebates. See Links Below]

6 Month Supply

3 Month Supply

Shipping Speed *

Free Standard shipping with 6 month supply of Daily Disposable lenses, or 12 month supply of all other contact lenses

Standard (5-10 Days) $20 or Free with Eligible Order

Expedited (3-5 Days) $35

In-Store Pickup (3-5 Days) Free. Our team will contact you when your order is ready for pickup.

Payment Method *

Please select your preferred payment method

Credit / Debit Card / HSA / FSA

Charge Existing Card on File

Bitcoin or Other Cryptocurrency

Other (Please indicate in Additional Information field)