Order contact lenses Our office provides two convenient ways of ordering Contact Lenses. You can either phone our office (506) 473-5272 or fill out the form below. Our staff is ready to assist you. All the fields followed by a * are mandatory. Referred byTitleMrsMissMrFirst Name*Last Name*Phone ((###)###-####)*Email* Date of birth* Age RangePlease choose0-1818-4444-6465+When was your last eye exam? Type of lenses required*Please name the product.Eyes*LeftRightBothQuantity1 year6 months3 monthsOr number of boxesMessage / Comments