LOGIN/REGISTER
 
cart Shopping Cart Cart (0)
 
Home > Request an Appointment

Request an Appointment

First Name*
Last Name*
Date of Birth*
Preferred Date (Mon-Sat only)* Date Selector
Preferred Time*
Contact Phone Number*
Email Address*
Type of Eyetest Required*
If "other", please provide further details
In order to assist us in reducing spam, please type the characters you see:
spam control image

Our Details

20 Hall Street
Pukekohe  
   
Phone 09 238 3796
  0800 SEEING
Email [email protected]
   

 
     
f quare
Like us on Facebook