Ph: 203-889-1319 | Email: ctlasers@ctlasers.com

Payments

 

Please fill out the following form. We will get immediate notification of your purchase and will contact you with a purchase confirmation, invoice and order details. If you have any questions, please feel free to contact us.

Thank You!


 

Name:*
Address (Billing):
Phone:*
-
E-mail:*
Shipping Address: (If same as billing, leave blank)
Payment Type*
Credit Card Account Number
Expiration Date
CVV Code
What Are You Purchasing (Please list all items)*
Price(s) As Advertised On Site*
Shipping Preference (We will let you know pricing as soon as we process your order)*
Questions, Comments or Order Instructions
I agree to pay according to the terms of my credit card provider. Please select, "I AGREE."*
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