Thermal Optics Order

First Name *

Last Name *

Cell Phone *

Secondary Phone (if any)

Email Address *

Form of Payment *

Full Billing Address *

Street, City, State, ZIP/Postal Code

Mailing Address (if different)

Thermal Optics *

Thermal Accessories

Daytime Scope Manufacturer and Model *

Notes/Requests/Discount Code

Export Control Agreement *

Export Control Regulations: ITAR and EAR Regulations

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