Credit Card order form

Secured Credit Card Order Form

telephone 800 235-2451 local and international 423 478-1451
fax 423 478-2774

Please note: Our internet orders are totally safe.
Our web site uses the latest state of the art SSL (secured socket layer)
internet encryption for all secured data transmissions.

Please enter your order below, you will be e-mailed a confirmation message and receipt.

The following information should be for your credit card billing address.
Should you wish to ship to a different address please email to: 2020@brightscreen.com

Product # and descriptions:	example: Brightscreen b104 with #1 crop or Eyepiece Magnifier #EML for Leica R series
Name on credit card:
Email:
Street:
Country:
City:		State:	ZIP:
Daytime telephone:
Credit card information
Card type:
Card number:	example: 1234-5678-9012-0000
Expiration:	example: 09/11
Security code:	3 or 4 digit code found on the front or rear of credit card

9.25% or current sales tax will be added to all orders delivered in TN.

$16.00 is added to all orders for standard shipping handling and insurance.

Product		Qty	Price
	Add for Overnight Delivery and orders out of USA		$ 30.00
	Accurfocus magnifier for medium format cameras		$ 359.96
	Eyepiece Magnifier		$ 191.96
	Crop or composition lines if adding to screens		$ 50.00
	Bronica screens 645/6x6/6x7 all listed		$ 279.96
	Canon screens 35mm and all digital listed		$ 199.96
	Contax screens 35mm and all digital listed		$ 159.96
	Contax screens 645 all listed		$ 279.96
	Fuji screens GX 680 / 680 II & III		$ 279.96
	Hasselblad screens all interchangeable		$ 279.96
	Hasselblad screens non-interchangeable		$ 279.96
	Leica screens Visoflex, R4/5/6/7/8/9		$ 199.96
	Long Roll Camera screens all listed		$ 279.96
	Mamiya screens all 645 / 6x6 6x7		$ 279.96
	Nikon screens 35mm & digital all listed except F/F2/3/4/5		$ 199.96
	Nikon screens F/F2/3/4/5 and all digitals built on F5		$ 199.96
	Olympus screens all listed		$ 159.96
	Pentax screens 35mm all listed		$ 159.96
	Pentax screens all 645 & 6x7		$ 279.96
	Rollei screens 35mm all listed		$ 159.96
	Rollei screens medium format all TLRS & SLRS		$ 279.96
	Yashica screens 35mm all listed		$ 159.96
	View Camera screens 2x3		$ 239.96
	View Camera screens 4x5		$ 279.96
	View Camera screens 5x7		$ 311.96
	View Camera screens 8x10		$ 359.96

Please note: Our web site special promotions or monthly specials will not be
shown on our auto responder e-mail order confirmation.

Any specials or discounts will be deducted from your total order at the time
your order is processed, billed and shipped.

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