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ORDER FORM

ORDERING INFORMATION:
LENS AND REPRO OFFERS YOU THREE CONVENIENT WAYS TO PLACE YOUR ORDERS.

1)  CALL US AT (212) 675-1900.  OUR HOURS ARE MONDAY THRU FRIDAY
    8:30am TO 5:30pm  EST.
2)  MAIL THIS ORDER FORM ALONG WITH PAYMENT TO LENS AND REPRO 
    33 WEST 17TH. STREET, NEW YORK, NY 10011  USA.
3)  FAX YOUR ORDER ON THIS FORM TO (212) 989-5018

SHIPPING & HANDLING: $10.00 MINIMUM.  
NEED IT IN A HURRY?  WE CAN SHIP UPS 2 DAY BLUE, OVERNIGHT RED,
FEDERAL EXPRESS PRORITY ONE OR STANDARD. 
SORRY BUT WE DO NOT SHIP TO P.O. BOXES OR SHIP C.O.D.

NAME: __________________________________________________________
BILLING ADDRESS:________________________________________________
CITY: ____________________ STATE:______________ ZIP:____________
BILLING PHONE NUMBER: __________________________________________

NAME: __________________________________________________________
SHIPPING ADDRESS: ______________________________________________
CITY: ____________________ STATE:_______________ ZIP: __________
SHIPPING ADDRESS PHONE NUMBER:__________________________________

DAYTIME PHONE (IF DIFFRENT FROM ABOVE): ________________________										
FAX NUMBER: ____________________________________________________

QTY		        DESCRIPTION              PRICE  EXTENSION
_____	_______________________________________	_______	_________
_____	_______________________________________	_______	_________
_____	_______________________________________	_______	_________
_____	_______________________________________	_______	_________
_____	_______________________________________	_______	_________
_____	_______________________________________	_______	_________
                                             SUBTOTAL	_________
	     NEW YORK STATE RESIDENTS ADD SALES TAX	_________
		               REGULAR SHIPPING CHARGES	_________
                         SPECIAL SHIPPING ARRANGEMENTS	_________
	                                	TOTAL	_________

CREDIT CARD:       MASTERCARD          VISA       AMERICAN EXPRESS

NAME THE WAY IT APPEARS ON CARD: ________________________________
CREDIT CARD NUMBER: ______________________   EXP.DATE: __________
CREDIT CARD BANK:________________________________________________ 
BANK PHONE NUMBER WITH AREA CODE:________________________________
																														
Signature:_______________________________________________________
TERMS & CONDITIONS: ALL NEW EQUIPMENT IS COVERED UNDER MANUFACTURES WARRANTY. ALL USED EQUIPMENT IS COVERED WITH A 90 DAY SERVICE WARRANTY UNLESS THE EQUIPMENT IS SOLD "AS-IS". THERE IS A MINIMUM OF A 10% RESTOCKING FEE FOR RETURN OF NON-DEFECTIVE MERCHANDISE IF RETURNED WITHIN 10 DAYS. ANYTHING SOLD AS NEW MUST BE RETURNED AS NEW WITH ALL ORIGINAL PACKAGING, BOOKS AND ACCESSORIES. FAILURE TO DO SO WILL NEGATE THE POSSIBILITY OF A NEW PRODUCT RETURN. AN APPROPRIATE RENTAL FEE WILL BE APPLIED TO RETURNS AFTER THAT PERIOD. NO CASH REFUNDS. SOME REFUNDS MAY BE ISSUED AS STORE CREDITS ONLY. SOME ITEMS ARE AVAILABLE ON A 3 DAY INSPECTION, PLEASE INQUIRE. WE ACCEPT VISA, MC, AMERICAN EXPRESS, CERTIFIED CHECKS, MONEY ORDERS, AND PERSONAL CHECKS (allow an additional 3 weeks for personal checks) WE RESERVE THE RIGHT TO REFUSE ORDERS FROM DISTRIBUTORS, DEALERS, LIMIT QUANTITIES AND CORRECT PRICING ERRORS.