Contact Lens Order Form

Name*

Please reorder the same brand that I purchased the last time.
Please order the new lenses that Dr. Hotz or Dr. Lafleur gave me to trial at my last appointment.
4 boxes: 1 year – monthly lenses or 6 months daily disposable
2 boxes: 6 month – monthly lenses or 3 months daily disposable
A different supply – see comments section below
Call me to explain any promotional pricing.
Yes! I want to save the solution’s tax! (sorry, we do not direct ship solutions).
No thanks. Not this time
I will come to the office to pick up my lenses
Please ship to my home address - Please contact me with applicable shipping fees.
Please ship to my work address - Please contact me with applicable shipping fees.

SaveSight Vision Centre

345 8th Street East – Suite 106

Owen Sound, ON N4K 1L3

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Hours

Monday - 8:00 AM - 4:00 PM
Tuesday – 8:00 AM - 6:00 PM
Wednesday – 8:00 AM - 4:00 PM
Thursday – 8:00 AM – 4:00 PM
Friday – 8:00 AM – 12:00 PM

Closed on statutory holidays.

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