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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, CHECK, or MONEY ORDER, WIRE, INTERNATIONAL.
CARD #_______________________ EXP DATE ________ NAME ON CARD_______________

TECH2000, 69 Ridge Street South, Monroeville, OH 44847 USA
PH: USA 419-465-2997  FX: USA 419-465-2484  EM: tddi@accnorwalk.com
http://homepages.accnorwalk.com/tddi/tech2000/