Order products

Thank you for your interest in OCULUS products, to order your Oculus product now, please use the secure form below.

PRODUCT	REGULAR PRICE	LIMITED TIME OFFER	QUANTITY
Elevation Based Topography Book (#70929)		$100
Mesotest II (#62800)	$8580
HMC Anomaloscope (#47715)	$8400
Universal Trial Frame UB 5 (#42550)	For special price, call toll-free, 1-888-284-8004 now.
Universal Trial Frame UB 4 (#42500)	$445
Classic Trial Frame UB 3 (#42180)	$285
Half-eye Trial Frame (#42580)	$199
Half-eye with adjustable nose piece (#42588)	$235
Children's Trial Frame (#42480)	$199
Children's with adjustable nose piece (#42488)	$235
1.8x Binocular Loupe - Small Frame	$425
1.8x Binocular Loupe - Large Frame	$425
2.5x Binocular Loupe - 30 cm - SMALL Frame	$495
2.5x Binocular Loupe - 30 cm - LARGE Frame	$495
2.5x Binocular Loupe - 40 cm - SMALL Frame	$495
2.5x Binocular Loupe - 40 cm - LARGE Frame	$495
Easyloupe 1.8x (#39720)	$280
Easyloupe 2.5x (#39725)	$330
Naugle Exophthalmometer	$405
Hertel Exophthalmometer	$395

BILLING ADDRESS
First Name: *
Last Name: *
Practice Name:
Address: *
Suite#:
City: *
State: *
Zip: *
Email Address: *
Day Phone: *	( )
Fax Number: *	( )

SHIPPING ADDRESS
	Is the shipping address the same as billing? Yes
Name: *
Practice Name:
Address: *
Suite#:
City: *
State: *
Zip: *

ADDITIONAL INFO
Please note that all items are shipped via UPS Ground unless otherwise noted. Shipping costs, plus a nominal handling fee will be added to your order total. Shipping and handling charges are non-refundable. Washington State residents will also have sales tax added to their order. Please check here if you would like us to contact you about alternate shipping methods and/or costs.
Optional Instructions:

PAYMENT INFO
Name on Credit Card *
Type of Credit Card *	Visa Mastercard American Express
Card # *
Exp. date *
YES! Please add me to the Oculus mailing list.

(* denotes a required field)

OCULUS, Inc. • Suite # 112 • 2125 196th Street SW • Lynnwood • WA 98036 • Tel. +1 425-670-9977 • Fax +1 425-670-0742