Wisconsin Vision Associates, Inc.

	Your One Stop Contact Lens Distributor

GENERAL PHONE EXTENSIONS

SALES REPS PHONE EXTENSIONS

SHIPPING INFORMATION

WVA FORMS

WVA
139 West Chestnut Street
Burlington, WI 53105

Phone: (262) 763-0100
Toll Free: (800) 747-9000

Fax: (800) 298-2329

New Account Application
Download, Print and Fax this 2 page form to WVA. WVA will then contact you with your account number.

Click here to send us an e-mail

Please contact us with any question or comment you may have by filling out the information below. (Do NOT use this form to communicate any time sensitive information, such as questions about an order. Instead, please call us at 1 (800) 747-9000.)

Name:

Office/Account #:

Preferred Method to Contact You:

Phone:

Email:

If Phone, Best Time to Contact You:

Comments/Questions:

Contacting Sales Representatives

Click on the state to find out who your sales representative is and how to contact him or her. (You must have flash to view the map).