Print or paste this form to use in mail or fax, email, or just writing info down for a phone order record.

      ORDER FORM             69 Ridge St. South, Monroeville, OH  44847 USA

Sold To:                                                                                      Ship To:

Phone: _________________________                            Order Date: ________________

If ordering a Dob-Driver, give basic description or model of telescope...

Belt length determination:  If mount is ALTAZ (not equatorial), enter the effective DIAMETER of your altitude bearing.  This may be a disk, semicircle, or hoop shape bearing etc.  Our standard supplied belt reaches across bearing sizes up to 11", other belts up to 27" diameter...________inches.

Qty      Stk No.                                      Description                                                                        Amount (US$)

Payment via VISA/MC/AMEX/DISCOVER, CHECK or MONEY ORDER, WIRE INTERNATIONAL.

CARD #__________________________________  EXP DATE ______________

NAME ON CARD __________________________________________________

Contact Info...
TECH2000 USA, 69 Ridge Street South, Monroeville, OH 44847 USA
PH:  USA 419-465-2997    FX:  USA 419-465-2484
EM:  info@tech2000astronomy.com
WEB:  http://www.tech2000astronomy.com