Eyelines is a leading Tasmanian eyewear outlet offering eye testing and a wide range
of top brand glasses, contact lenses and sunglasses.

Simply fill out the form below and we will arrange for your order to be processed.

To contact lenses, please fill out the details below:

Your Full Name:
Your Email address:
Address:
Suburb:
Postcode:
Telephone (business hours):
Where would be most convenient to have your appointment?	Please Choose One Hobart Kingston Rosny Launceston Glenorchy Prospect Devonport Burnie Kings Meadows New Norfolk Sorell
Do you prefer morning or afternoon?	Please Choose One Morning Afternoon
How would you like us to contact you?	Please Choose One Phone Email
Contact Lens Details
Who prescribed your contact lenses? (we need to obtain an up to date prescription for you to order lenses)
What lenses are you wearing?
Brand of Lenses
Manufacturer of Lenses
What is their strength?
Left Sphere:
Left Cyl:
Left Axis:
Right Sphere:
Right Cyl:
Right Axis:
Are they tinted?	Yes No
Colours
What colour are they?
Specifics	Please Choose One Light Medium Dark