Order Vision Simulator Cards

Please submit and mail check to: Ohio Optometric Association, P.O. Box 6036, Worthington, OH 43085. Make checks payable to the Ohio Optometric Association.

Company Name: *

First Name: *

Last Name: *

Billing Address: *

City: *

State: *

Zip Code: *

E-mail: *

Phone:

Shipping Address (If Different):

City:

State:

Zip Code:

All Cards $0.29 each

# of Infant Cards	# of Children Cards	# of General Cards

Subtotal

Sales Tax (OH Only) 6.75%:

Standard S/H:Shipping rates:
$1-200 = $7.50
$201 - 400 = $10.00
$401 & up = $12.50

Overnight Shipping - Add $30:

Overnight Shipping

TOTAL COST:

Please add any additional comments or special instructions here:

**** PLEASE MAIL FULL PAYMENT TO OOA ****