Pre-Order Form

Pre-Orer FORM

* Indicates required field

Name *

First

Last

Business Name *

Address *

Line 1

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City

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Zip Code

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Phone Number *

Email *

Estimated # of Purchase Day/Year* *

Please select the desired Product *

please select the desired screen size *

Quantity *

Multiful Order *

PLEASE SELECT THE DESIRED PRODUCT PERIOD * * *

Tell us a little about your business *

Submit

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LEDscopic

1303 Marsh Ln.
Carrollton, TX 75006

1-888-510-1170
1-214-390-5252

kenneth.c@osakititan.com
steve.k@ledscopic.com

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