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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!

* If you are setting mail rejection, please unset it and then click the "Send" button.
* If you are using free mail such as yahoo and hotmail, our email may directly go into your spam mail folder. (Please add info@perfectlens.ca to ensure our email reaches your inbox)

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 *
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
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