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    How many boxes?

    I am in possession of a valid prescription YesNo

    Please note it may not be older than 12 months.


    LEFT LENS

    BaseCurve

    Sph

    Cyl

    Axis

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    RIGHT LENS

    BaseCurve

    Sph

    Cyl

    Axis

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    How will you be paying for the contact lenses? Medical AidCash/Credit Card


    Please attach a scanned copy of your prescription if you are not currently a patient of us.


    Please attach a copy of your ID


    Please attach a copy of your medical aid card

    Our Brands

    Business Hours:

    • Mon - Fri: 9:00 - 17:00
    • Sat:     9:00 - 14:00
    • Sun:    10:00 - 14:00
    Shop No. 10, BluBird Centre, Cnr Atholl Oakland & Fort Str, Birnam, Johannesburg

    Business Hours

    Mon-Fri: 10:00 - 16:00
    Sat - Sun: 10:00 - 16:00

    Shop No. 10, BluBird Centre, Cnr Atholl Oakland & Fort Str, Birnam, Johannesburg
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