Log in | Create profile

Credit Application

Please complete this online application

Teledyne Optech keeps submitted information in strict confidence in accordance with our Privacy Policy.

Fields marked with an asterisk (*) are required. Without this information we cannot process your credit application.

Company Information
Please specify currency
For United States and Canadian customers only (you are also required to attach all copies of your tax exemption certificates on this application)
For United States and Canadian customers only
Sales tax exemption certificate/direct pay permit (4 MB max)
Corporate Officers
Accounts Payable
Include country code
Routing Information
Teledyne Optech Sales Contact
For faster processing, please indicate the name of your Teledyne Optech sales contact.
Trade References
Include country code
Include country code
Terms and Conditions

Terms of Sale

Usual terms of sale are payment in full thirty (30) days from date of invoice, unless otherwise specified in writing, by the seller. Default of payment may result in a 1.5% monthly interest rate charge (18% per annum) on all past due amounts. The applicant does hereby authorize Teledyne Optech to conduct all credit investigations necessary for approval of this application. Terms of credit must be approved and are not automatically granted. I understand and accept that Teledyne Optech uses only electronic invoicing delivery methods.

You consent to the use of this information for the purpose described above.
Verification
CAPTCHA
Change the CAPTCHA codeSpeak the CAPTCHA code
 

By submitting this form, the personal information you supply will be used by Teledyne Optech sales representatives and/or our distributors as necessary to respond to your enquiry and provide you with requested information or support. Please refer to our privacy policy for more information on how we use and store your personal information.