Exam Preparation Home Study Course
Order Form
Ordering is easy . . .
Just print this page to get your order form.
Then mail, fax, or phone in your order to the Optical Training Institute.
OPTICAL
TRAINING INSTITUTE
4000 Barranca
Parkway
Suite 250
Irvine, CA 92604
Telephone: 949-551-5455
Fax: 949-857-5455
email: questions@OpticalTraining.com
Name:___________________________________________Home Phone:_____________________________
Company (Optional):________________________________Work Phone: _____________________________
Address:_________________________________________________________________________________
City: ________________________________________State: ________ Zip: _________________
| Please place my order for the following (check one): | ||||
| ___ Spectacle Dispensing Course . . . . . . . . . . . . | $249.00 | |||
| ___Contact Lens Dispensing Course . . . . . . . . . | $249.00 | |||
| ___ Both Courses . . . . . . . . . . . . . . . . . . . . . . . | $449.00 | |||
| Shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | $12.00 | |||
| (California Residents Add 7.75% sales tax) | ________ | |||
| Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . | ________ | |||
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