Order Form
If you wish to pay with Mastercard, Visa or Discover, call us with your CC info (563) 355-0891, we'll ship same day.
If you wish to pay by check or money order, print this form out on your printer (File>Print). Fill in quantity, amount and total,
including shipping, and info at bottom of page (handwritten is fine).Mail form with a check, payable to Wayne Emery, to:
Wayne Emery
105 East 35th St #1 Shipping when check clears on weekdays, Fedex Express Ground, Insured, Signature Required
Davenport IA 52806
If you are not satisfied with your Dinolite product, simply return it with all packing materials in like-new condition within 21 days
and we will refund your money less shipping.
All Dinolite products carry a one-year limited warranty against defects in materials or workmanship. (Not damage caused by you).
Item Price Qty Amount
Special #1, 411T, A-1 Tripod Kit, Light Box Kit $428 plus S&H Save $25!
Special #2, Same as above plus TruLevel Kit $499 plus S&H Save $53!
Dino-Lite AM 311 S Camera $185.00
Dino-Lite AM 411 T Camera $329.00
TruLevel with diffuser and risers $99.00
A-1 Tripod Kit (3 piece) $59.00
Light Box Kit $65.00
M-21 “Gooseneck” Stand $39.00
M-10 Portable Tripod $29.00
Adjustable Finger $189.00
Diamond Disc Kit $249.00
Coin Imaging Device $65.00
S&H $18.00 Total
Date __________________
Company Name___________________________________
How did you hear about us?________________________________________________________
E-Mail Address (required)___________________________
Your Name ___________________________________
Your Signature ___________________________________
If you wish to pay with Mastercard, Visa or Discover, call us with your CC info (563) 355-0891, we'll ship same day.
If you wish to pay by check or money order, print this form out on your printer (File>Print). Fill in quantity, amount and total,
including shipping, and info at bottom of page (handwritten is fine).Mail form with a check, payable to Wayne Emery, to:
Wayne Emery
105 East 35th St #1 Shipping when check clears on weekdays, Fedex Express Ground, Insured, Signature Required
Davenport IA 52806
If you are not satisfied with your Dinolite product, simply return it with all packing materials in like-new condition within 21 days
and we will refund your money less shipping.
All Dinolite products carry a one-year limited warranty against defects in materials or workmanship. (Not damage caused by you).
Item Price Qty Amount
Special #1, 411T, A-1 Tripod Kit, Light Box Kit $428 plus S&H Save $25!
Special #2, Same as above plus TruLevel Kit $499 plus S&H Save $53!
Dino-Lite AM 311 S Camera $185.00
Dino-Lite AM 411 T Camera $329.00
TruLevel with diffuser and risers $99.00
A-1 Tripod Kit (3 piece) $59.00
Light Box Kit $65.00
M-21 “Gooseneck” Stand $39.00
M-10 Portable Tripod $29.00
Adjustable Finger $189.00
Diamond Disc Kit $249.00
Coin Imaging Device $65.00
S&H $18.00 Total
Date __________________
Company Name___________________________________
How did you hear about us?________________________________________________________
E-Mail Address (required)___________________________
Your Name ___________________________________
Your Signature ___________________________________
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