Name * First Name Last Name Mobile Number * Have you ordered contact lenses through Lake and Valley Optical before? * YES NO Please select a practice location * Huntlee Boolaroo Are your current contact lenses meeting your visual needs? * YES NO I NEED TO DISCUSS AN ALTERNATIVE What quantity of contact lenses do you want to order? * 1 month 3 months 6 months Thank you for your order! We will send you a SMS when your contact lenses are ready for collection.
