Manual Exposure
Equipment shipped to physical addresses ONLY. No Post Office boxes, please.
Please print neatly. This is the address that we will be shipping your unit to.
Name:_________________________________ Company:_______________________________
Day phone:_________________________________(if international, please include country code)
Email address:___________________________@______________________________________
Street______________________________________________ Apartment or Suite #__________
City: ___________________________________ State/Province__________________________
Country _______________________________________ Postal Code (zip) _______________
----------------------------------------------------------------------------------------------------------------------------------------------------------------
Payment method: (please circle)
Trade-in PayPal
Cashier's Check Company
Check Wire Transfer
Exact amount of payment, including shipping and any wire transfer
fees $__________________
Date payment sent:_____________ Date
payment received:___________________
(do not fill in)
----------------------------------------------------------------------------------------------------------------------------------------------------------------
The following must be signed for your order to be scheduled.
I have read the Pre-Order Information Page_________________________