Solaz Order Form


Please remit by check or money order, payable to Solarchromic, Inc. Add $5.00 for shipping and handling. Colorado residents, add 3% tax. 30 day money back guarantee on sunglasses if you are not completely satisfied.

On orders outside of the US, please add $10.00 and pay with a draft drawn on a US bank in US funds or an international money order.



Please print this page, fill out the order form, and mail it along with your check to the address below:

Solarchromic, Inc.
2103 Essex Lane
Colorado Springs, CO 80909


Payable by check or money order:

Select type and quantity:
Solaz style 1 Solaz style 2 Solaz style 3 Solaz style 4 Solaz style 5
Plano pair
R/x pair

Name:
Name of purchaser, if different from preceding name:
Business or Organization:
Address Line 1:
Address Line 2:
City: State: Zip Code:
Country:
Phone: Fax:
E-Mail address:
Additional comments:


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Solarchromic, Inc. - 2103 Essex Lane - Colorado Springs, CO 80909
Phone: 719-591-9264
E-Mail: solaz@solarchromic.com

Copyright 1996-2005 Solarchromic, Inc. All Rights Reserved.
Solarchromic and Solaz are Trademarks of Solarchromic, Inc.