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Order Contact Lenses

Customer Info

You must have a current prescription with Alfa Optical. First-time buyers please arrange an eye exam by calling 905-456-2733 or use our online form.
First Name :
Last Name :

Phone :
Email :

Address :

City :
Province :

Order Form



Brands :

How many boxes of LEFT and RIGHT lenses do you wish to order?
Left Eye :
Right Eye :

Special Instructions :

Pickup Date :

Select a Store

Choose the location that you will pick up your contact lenses
Store Location :

Upload Prescription 1 :

Upload Prescription 2 :

Upload Prescription 3 :