We will contact you should a test be required or if we need to confirm any other information. YOU CAN ALSO ORDER YOUR CONTACT LENSES VIA WHATSAPP @ 079 099 6898 Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Brand NameMonthly / Daily *Daily LensesMonthly LensesBoxes per Right Eye *123456789101112Boxes per Left Eye *123456789101112Payment Method *Private PaymentSubmit to Medical-AidMessage or Special InstructionsSubmit
