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Online Order Form

To process your request as quickly as possible, please ensure that the fields marked in red * are completed before submitting your request. If this data is not entered we will be unable to process to your request.

Customer Name:*        
Customer PO #:        
Returned Merchandise Authorization        
OZ Quote # or Ref #:        
Customer E-mail Address:*        
Currency: USD,  CDN,  EURO        
Customer Supplying Parts: YES,  NO        
Partial Shipment Acceptable: YES,  NO        
Special Instructions:        
Payment Method: VISA,  MasterCard,  Wire Transfer,  Bank Draft    
   Credit Card No.
   Expiry Date
   Card Holder Name
Bill To:
Ship To:
Buyer: Tel.: Fax: E-mail:  
End user: Tel.: Fax: E-mail:  
All orders are normally shipped FOB origin, overnight FedEx and the cost is added to your invoice. If you wish to use any other carrier please provide the name of the carrier, your account number, and the service level (overnight, 2nd day etc.). Note: OZ Optics can not ship FedEx ground outside of Canada.

Carrier: Account Number:        
To establish credit terms for future orders, please complete the credit application on our web site.
Item Qty* OZ Part # and/ or
Bar Code# *
Description Unit Price* Requested Dock Date
    security code
Please Enter Above Security Code:

"Note: OZ Optics does not share customer information with third parties."
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