CONTACT ORDERING

Please fill in the fields below to re-order your contacts.

Name:
Birth Date:	/ /
Boxes of left lenses:
Boxes of right lenses:
Please ship:	Directly to Norman Eye Associates Directly to Me *shipping information required
Shipping Address*:
City*:
State*:
Zip Code*:
Payment Method:	Credit Card Cash/Check (Pick up in office only)
E-mail:
Daytime phone:
	No state sales tax on orders We will call or email upon receipt of your order to confirm and verify payment method and collect any needed information.
Additional Comments:
	Please call 405-329-8100 or email Michelle at michelle@normaneyeassociates.com with any questions.