Camera & Imaging
 www.nightowlcamera.com
phone: (831)462-8243 USA 
fax:     (831) 462-8246 USA 
e-mail: nightowl@nightowlcamera.com
Instructions: Print form by clicking on the "Print" button in your browser. 
Once you have printed and filled out this form, you can:
FAX it to: (831) 462-8246 , CALL it in at: (831) 462-8243 or
MAIL it to: 7960-B Soquel Drive #140 Aptos, CA  95003
Name: ______________________________ 
Delivery Address: _____________________________________
Cardholder Address: ___________________________________
Today's Date: _________________		 Phone: ___________
Fax:     ___________
Email:  ____________
 MAKE & MODEL   PRICE EACH  QUANTITY  AMOUNT
   $  X =
   $  X =
   $  X =
   $  X =

Shipping and handling charges:
Orders over $600 shipped FREE in Mainland USA
$8 S/H if under $500
$20 S/H for scanners and printers

Sub Total: $__________
8% Sales Tax (if CA resident): $__________
Shipping & Handling: $__________
TOTAL: $__________

Send Check (please allow up to 2 weeks for processing), Money Order or
Please charge my:  __ Visa     __ MasterCard  
CC#: _________________ Exp. Date:_____
Signature:_________________________

 Name appearing on card: ______________
Bank Name:_____________________
Bank Phone # (on card):_______________