Online Order Form

Please don't forget to fill out the appropriate shipping information.

Model #70 Packages                                          Quantity           Color
 
 
 
 

Lenses                             Quantity


Prepared Slides                                Quantity






Accessories                                                                 Quantity









Note: 5% Shipping-Handling charge will be added to all orders.
          7% sales tax will be added to all FL orders.

 

Billing Information

First and Last Name:

Email:

Phone Number:

Address:

City:

State:

Zip Code:

 

 

    

Shipping Information

First and Last Name:

Email:

Phone Number:

Address:

City:

State:

Zip Code:

 

 

 

 

 

 

Payment Options
You may send a check or use your charge card. Check orders will not be processed until payment is received. Charge orders can be entered below or we can call to get information over the phone. This is not a secure site.

                                  Credit Card Number                 Expiration Date