Siebert Optics Product Order Form

Order Information
Thank you for your purchase. If you have any questions please feel free to call us at 1-919-614-4297 M-Sat 10am-11pm Est or email us at harrysiebert3980@gmail.com We welcome international buyers. But please keep in mind that your country will probably charge you a VAT or Import tax fee. We have nothing to do with this fee and it varies per country. To find out what that fee is please talk to your local postal service. Please DO NOT ask us to lower the value of your package. If you would like to know how much shipping is to your country please email us harrysiebert3980@gmail.com with specific items interested in and we will get back to you with as accurate a quote as possible. Shipping will be by International Priority Mail with insurance and tracking. End caps are provided for most eyepieces. Bolt cases are $4 each for 1.25`` sizes and 2`` sizes $5 each. Orders may take 1-2 weeks for delivery. Please ask if you have any special needs for quicker delivery. * In order to keep cost down we will now be using Paypal as our credit card processor. This is at no cost to you. You will no longer input your credit card information on this form. Credit cards will now be billed through Paypal. You DO NOT need a Paypal account but will receive an invoice through Paypal to your email. You can then pay as a guest by inputting your credit card information directly from the invoice on their secure server. *
Important: Enter a valid e-mail address. Receipts and tracking numbers will be sent to this address. Your email will not be used for any other purpose and will not be given to any third parties. Please enter item description in first box, price of item in the second box, and quantity in third box which has a drop down menu. The form will automatically calculate totals.
*E-Mail:
*Product #1
Product #2
Product #3
Product #4
Product #5
Product #6
Product #7
Product #8
Product #9
Product #10
Sub-Total:
Tax (NC 6.75%):
Grand Total (before shipping costs):
Billing Information
*First Name:						Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:						Where your statement is mailed
Address Line 2:						Apt. or Suite No.
Address line 3
*City:
State:
Province						If outside USA
Other
Other						For those outside USA.
*Zip Code:
*Country						Country you live in
*Daytime Phone:						For contact purposes only
*Cell phone and/or Evening Phone:						For contact use only
Shipping Information
Same As Billing Info						Don`t fill in below if checked
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
Address line 3
City:
State:
Province						Outside USA info
other						any other shipping info.
other						any other shipping info.
Zip Code:
Country						Country you live in
Form of payments
*Payment type						Choose one
Any additonal instructions or questions.
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