Order Contact Lenses Online Order Contact Lenses Online Please complete the following information. Our offices will verify the prescription within our records and notify you of the final charges. Rebates are also available on many, but not all, products. See Coupons. (http://www.seelife.net/our-team/New-Staff-Member,273124)nnOrders can only be filled if an annual exam has been completed within one year of the request date. This is based on Federal regulations under the FCLCA act. http://www.ftc.gov/opa/2004/06/contactlens.shtm Please complete the following information. Our offices will verify the prescription within our records and notify you of the final charges. Rebates are also available on many, but not all, products. See Coupons Orders can only be filled if an annual exam has been completed within one year of the request date. This is based on Federal regulations under the FCLCA act.What type of lenses would you like to order? Soft Disposable Soft Non-Disposable Rigid Gas Permeable What type of soft disposable lenses do you wear? One Day Two Weeks Monthly Quarterly How many one day soft disposable lenses do you need?Right Lens 6 Month Supply 3 Month Supply Other How many one day soft disposable lenses do you need?Left Lens 6 Month Supply 3 Month Supply Other Which office do you use? Hopewell Lambertville Name First Last Shipping Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Phone Number (where you can be reached in the next 24 hrs)Mobile NumberShipping Preference *May be longer depending upon product availability. Standard 1 year supply (5-7 business days*) No Charge Standard (5-7 business days*) $7.00 Standard Specialty lenses (5-7 business days*) $10.00 - $20.00 Priority (3-4 business days*) $15.00 Expedited (1-2 business days*) $30.00 Pick Up At The Office (Priority) $12.50 Pick Up At The Office (Overnight) $30.00 If you prefer to email your order information, please send an email to www.seelife.net http://www.seelife.net/contact-us To fax your order (or fax just your credit card information), for the Lambertville office please use 609-397-7023 and for the Hopewell office please use 609-466-3329.