Quality ophthalmic products, exceptional value and service.

Insight Surgical Order Form

To place an order, please use one of the following methods:

  • Phone: 1300 737 393
  • Fax: 02 8814 6811 (Click here to download the printable fax form)
  • Or simply fill in the order request form below and we will contact you to confirm your order as soon as possible.
  • All orders and enquiries are handled during normal business hours 0900-1700 Monday to Friday (excluding public holidays).

 

Online Order Form

All fields marked with an (*) are required fields and will need to be filled before submitting your order form.

 

    Ordered by (*)
    Company Name (*)
    Email Address (*)
    BH Phone (*)
    Invoice to
    Ship to
    Order Details Product Code Quantity
    Special Instructions
    Please prove you are human by selecting the Truck.