We apologize but at this time we do not have on-line ordering.

However, you can order by one of the 3 methods below.

1. Call us at 386-761-8181

2. Fill out and submit this form and we will call you promptly

3. Fill out this form, print and fax it to: 386-761-0138

 

Do not submit this form with your credit card number, only enter your card number if you are going to fax your order.

Name:

Address:

City:

State:                            Zip:

    

Phone:

Best Time to Contact:

Glasses you would like to order:

Hawkeye

Osprey

Raven - black - silver

Buzzard - black - silver

Quantity

Credit card number Exp.(do not enter unless you are faxing)

 

Authorized Signature_________________________________

 

Thank You

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