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USA: (800) OPTICS-7 (678-4277)
Fax: (856) 427-7940
International:(856) 795-8585
info@TechOpticsInternational.com

   

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Tech Optics International Order Form

Download Printable Version

With this form you can place your order by Email, Phone, or Fax.
  • To Email your order, simply fill out the form below with your Billing and Shipping details, as well as the product details, then click the "Submit" button below.
  • To place your order by Phone, simply download and print the Printable Version, fill in your Billing and Shipping details, as well as the product details, then give us a call at 1-800-678-4277.
  • To place your order by Fax, simply download and print the Printable Version, fill in your Billing and Shipping details, as well as the product details, then fax your order to 1-856-427-7940.
Product Pricing: You do not need to fill out the pricing for the products. A Tech Optics representative will contact you with the cost of your products, plus Tax, Shipping & Handling, before charging your credit card.

International Orders: You do not need to fill out the pricing for the products. A Tech Optics representative will contact you with the cost of your products, plus Tax, Shipping & Handling, before charging your credit card.
Please Note: For International orders, the Billing and Shipping address must be the same.

Bill To: Ship To: (if different from billing address)
Name * : Name:
Tel # * : Tel #:
Address: Address:
Apt #: Apt #:
City: City:
State: State:
Zip Code: Zip Code:
E-Mail * :
Company * : If you do not have a Company name, please enter "None"
Please use street addresses. UPS does not deliver to PO boxes.

Credit Card Type: Credit Card #: My Card Expires: CVV:

PO:            

Qty Item # Description Patient Name
Comments:

 

Tech Optics International
600 Deer Road, Building #11, Cherry Hill, NJ 08034
USA: (800) OPTICS-7 o (800) 678-4277
Fax: (856) 427-7940 International:(856) 795-8585
email:Lisa@TechOpticsInternational.com

 


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