Ludeca: Order DotLine Laser Form

Order DotLine Laser

Ship to Address:

Name		E-mail
Company
Address
City		State & Zip
Country
Phone		Fax

Bill to Address (if different from Ship to):

Company
Address
City		State & Zip
Country

Ship Via

(Approx. shipping weight for one DotLine Laser: 4 lbs.)

Notes:

Warranty: 1 year from date of invoice. Freight Terms: Shipping charges (freight and insurance) will be Prepaid and Added,
unless otherwise specified. Prices are F.O.B. Miami, Florida, USA. Local taxes and custom duties are the buyer's responsibility.

Purchase Order No.
Credit Card
Cardholder's Name
Credit Card No.	Exp. Date

Qty.	Order No.	Description	Price US$
	L 1000	DotLine Laser Pulley Alignment Tool, 4 magnetic targets and quick reference in carrying case.	1,450.00 ea.
	L 1001	Magnetic target	69.00 ea.
	L 1001set	Magnetic target (set of 4 pieces)	240.00 set
	L 1003	Adjustable magnetic target	76.00 ea.
	L 1003set	Adjustable magnetic target (set of 4 pieces)	266.00 set
	L 1004	Soft carrying case	68.00 ea.

Notes:

This site does not offer secured credit card order transactions, however this form is a secured link.
You may print this form and fax it to us at (305) 591-0102 or call us at (305) 591-8935.