CrystÃl Allure Ar

Reliable Optics exclusively offers premium AR lenses!
Our in-house CrystÃl AR Technology Center uses SatisLoh state of the art equipment to provide your patients with oleophobic and hydrophobic topcoats for the ultimate eyewear experience. Our AR Technology ensures:

  • Superior vision
  • Ease of cleaning
  • Fast turn-around



We offer these lenses in three models:

 

CrystÃl Allure
Super oleophobic topcoat

  • 2-year warranty

 

CrystÃl AR

  • Hydrophobic topcoat
  • 1-year warranty

 

CrystÃl Pure Blue

  • Hydrophobic topcoat
  • 1-year warranty

 

CREDIT APPLICATION FORM Please complete the application in full.
Download Credit Application PDF
- Scan and email to info@reliableoptics.com
- OR fax to 718.369.2591
50-20th Street2nd floorBrooklyn. NY 11232
866.772.5367 (LENS)718.369.5060Fax 718.369.2496
FOR RELIABLE OPTICS USE ONLY
Account Number
Overall Credit Rating
Credit Limit
Date Approved
Approved by
Proprietors, Partners or Company Officers
Name *Title *Soc.Sec#Telephone# *
Trade References

THE UNDERSIGNED HAS GIVEN THE ABOVE INFORMATION FOR THE PURPOSE OF OBTAINING CREDIT AND REPRESENTS THAT SAID INFORMATION IS ACCURATE AND COMPLETE. THE SIGNATURE BELOW SHALL BE AUTHORITY FOR BANKING AND TRADE REFERENCES TO RELEASE CREDIT INFORMATION. THE UNDERSIGNED FURTHER AGREES TO PAY FOR MERCHANDISE AND/OR SERVICES WITHIN THE RELIABLE OPTICS BILLING TERMS OF NET 30 AND UNDERSTANDS THAT PAST DUE BALANCES ARE SUBJECT TO A MONTHLY 1.5% SERVICE CHARGE WHICH WILL NOT BE CANCELLED UNLESS A BILLING ERROR HAS OCCURRED. IN THE EVENT OF DEFAULT, THE UNDERSIGNED AGREES TO PAY REASONABLE ATTORNEY FEES AND OTHER COSTS INCURRED IN COLLECTION. THE UNDERSIGNED UNDERSTANDS THAT AUTHORIZED RETURNS ARE FOR EXCHANGE ONLY AND THAT ANY CREDITS ISSUED ARE MERCHANDISE CREDITS.

e-Signature

By checking this box. i hereby electronically sign this document, and accept all terms and conditions herein

(Business Name)

To induce Reliable Optics to approve this Credit Application and in consideration of its so doing, we, the undersigned, do hereby jointly, severally, and personally guarantee the above purchaser's full performance of said purchase agreement and hereby agree to indemnify Reliable Optics against any and all damage, loss, expense (including attorney's fees) and/or liability sustained by Reliable Optics by reason of or related to, the above purchaser's failure to perform or to pay when due, charges incurred in accordance with the above agreement. Reliable Optics may enforce this agreement against the undersigned or any of them, jointly or severally, whether or not any action is ever taken by it against the above Purchaser or extensions of additional credit to the Purchaser. I consent to Reliable Optics attaining an individual credit report.

Name *
Date *
e-Signature

By checking this box. i hereby electronically sign this document, and accept all terms and conditions herein

CREDIT CARD
PAYMENT AUTHORIZATION

Please complete the application in full.
Download Credit Application PDF
- Scan and email to info@reliableoptics.com
- OR fax to 718.369.2591

I authorize Reliable Optics to charge for company orders to the above credit card. If a credit card is to be added or deleted from this list, I will notify Reliable Optics of the change in writing.

Check One:
E-SIGNATURE

By checking this box. i hereby electronically sign this document, and accept all terms and conditions herein




Thank You for your submission!