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Please fill in your details in the boxes below, these will be used to contact you whenever you have placed an order with us. Fields marked with an * are mandatory.
Personal Details
Title :
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First Name :
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Last Name :
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Date of Birth :
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Home Address and Contact Details
Please enter the details of how we should contact you.
Address :
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Town / City :
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Post Code :
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Telephone Number :
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Mobile Number :
E-mail :
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Confirm E-mail :
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Delivery Address
If your delivery address is the same as the above address, please tick this box .
Address :
 
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Post Code :
Prescription Details

In order to purchase Contact Lenses online, we need your prescription. You can provide this by post, fax, or e-mail. The original prescription or its copy is required indicating clearly your opticians details. Please select:
 
I will send the prescription by post.
 
 

OneStopContactLenses
Prescriptions Department
PO Box 5029
London W1A 7ET

   
I will fax the prescription.

 

 Fax to :
0207 636 0281
   
I will e-mail the prescription.
Email to :
prescriptions@onestopcontactlenses.co.uk
   
Optician Phone Number :
When placing an order, you grant us permission to contact your optician to verify your prescription details if required.
OneStopContactLenses Account Login Details
Please choose a User ID and Password. You can use this to access your Onestopcontactlenses account, in order to make any purchases. The User ID and Password must have 6 characters or more and contain no spaces.
User ID :
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Password :
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Confirm Password :
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