Contact lenses in Canada

Registration

* Email address authentication is needed when registering.

How to register
1. Fill in the boxes below and click "Send".
2. We, [ perfectlens ] will send an Email to the Email address entered.
3. Just click the link in the Email to open an authentication page, and the registration is completed!

Fields marked with (*) are mandatory

ID(email) *	Please enter your email address. Example: someone@perfectlens.ca If you enter your email address incorrectly, you will not receive any emails from us. These emails will contain important information about your order and shipping status.
Password *	Example: Perfect123 (Password confirmation) Please choose a password with 4-20 characters, letters and numbers only, no special characters.
Name *	First name Last name maximum length 30 each
Address *	Example: Unit 102 - 5555 2nd Street Company and/or Unit number if needed, House number, Street name Example: Vancouver City
Province *	---- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Country *	Canada
Postal code *	Example: K1A 0B1
Phone number *	Example: 9999999999 Please do not enter any spaces or dashes.(10 digits)
Date of birth	Example: 01 / 31 / 1984 / / MM/DD/YYYY
Gender	---- male female
Receive emails from us	Receive