Order precision crystals from International Crystal

Order precision crystals

This form has been designed to make crystal ordering quick, easy and paperless! Just fill in the necessary information and click "Submit". You will receive a confirmation by email. For all other crystal specifications please call our toll free sales number (1-800-725-1426) for assistance. Thank you for using International Crystal Manufacturing.

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TERMS AND CONDITIONS
I agree to International Crystal Manufacturing's Terms and Conditions.
CUSTOMER INFORMATION
ICM Account Number: (if known)
Previous Order Number: (if applicable)
*Your name:
*E-Mail Address:
Company:
Address 1:
Address 2:
Address 3:
City:
State:
Zip Code:
Country:
Phone Number:
Fax Number:
Preferred Contact Method:
SHIPPING
Continental US Only:
International Only:
ITEM # 1
Frequency:
ICM Part Number:
Quantity:
Notes:
ITEM # 2
Frequency:
ICM Part Number:
Quantity:
Notes:
CREDIT CARD INFORMATION
American Express MasterCard Visa Discover
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Expiration date:
Credit card number:
Credit card ID number: (What is this?)
Is your billing address the same as your customer information address? Yes No
If not, please enter your billing address below:

International Crystal Manufacturing
10 North Lee Avenue • Oklahoma City, OK 73102
Toll Free Phone: 1-800-725-1426 • Toll Free Fax: 1-800-322-9426
Phone: 1-405-236-3741 • Fax: 1-405-235-1904
Email: info@icmfg.com

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