Holland Accu-Optical Chatham Ontario
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Please use our convenient order form below to reorder your supply of contact lenses.
Name
*
First
Last
How should we contact you?
*
Choose One
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Phone
Phone
*
Email
*
What would you like to order?
*
1 Year Supply
6 Months Supply
Delivery Options
*
Store Pick-up
Ship To Me (*shipping costs may apply*)
We will use your current prescription for the order. You will be contacted if your current prescription is no longer valid.
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