Precision Optical Co.
Precision Optical: Lenses, Frames, and Sunglasses
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Full Service Lab | Credit Application  

Credit Application
Print and Mail or Fax to:

Precision Optical, P.O. Box 8023, E. Hartford CT 06108 / Fax:(860)289-0164

Date:
 
Opthalmologist                Optometrist               Optician
Account Name:
 
Phone:
 
Address:
 
City:
 
State:         Zip:
 
Sole Proprietorship     Partnership     Corporation
Years in Business:
 
Federal ID No.:
 
Type of Business:
 
Owner:
 
Soc Sec No.:
 
Person responsible for Accounts Payable:
 
Bank Reference:
 
Account No.:
 
Trade References
Name
Phone Account No.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Terms of Credit:

I hereby certify that the above information is true and correct and is provided for the purpose of obtaining credit. I hereby authorize you to obtain information from any of the references listed above.

It is further understood and agreed that should this account at any time not be paid according to terms, the undersigned will pay interest at the highest rate allowed by law in the State in which the undersigned resides or maintains a place of business, and, if the account is turned over for collection, will pay a reasonable attorney or collection fee.

I fully understand your credit terms and agree to the proper payment in consideration of extended payment. The undersigned unconditionally guarantees payment in full, including interest and costs of enforcement, if any.

x___________________________________________________

Volume Discount if paid within 10 days, Net Due 30 days EOM. There will be a 1.5% Interest Charge per month (18% annum) or the highest allowed in Purchasers' state on all amounts over 30 days old.

We accept payment by Visa or MasterCard.

Completed applications can be faxed to (860) 289-0164 or mailed to Precision Optical Co., P.O. Box 8023, East Hartford, CT 06108.

 


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Precision Optical Co.
Precision Optical Company
P.O. Box 8023
351 Burnham Street
East Hartford, CT 06108
Connecticut: (860) 289-6023
Nationwide: (800) 842-8622
Fax: (860) 289-0164
Fax: (800) 441-8866

Please direct comments or questions to: info@precision-optical-co.com

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