If your prescription is on file at the Eye Gallery and the prescription is less than a year old, you may re-order your contact lenses by supplying the following information.

You will be contacted regarding this order.

Contact:

Full Name:

Date of Birth:

Contact Information:

Daytime Phone: (area code + number)

Evening Phone: (area code + number)

Email:

_ I will pick up my order

_ Ship my order to the address below (Note - there will be a $7.00 shipping fee added to your order

Shipping Address:

You will be contacted by a representative from the Eye Gallery to verify your order and to obtain payment information during office hours (Monday through Friday 10-7pm and Saturday 10-6pm).

Payment is due at the time the order is processed. If you are not contacted within one (1) working day of placing your order, please call the Eye Gallery at (972) 519-0006.