RL Vision Secure Order Form
Secure Transactions by 
BMT Micro, Inc 
Product ID Quantity Description Price SubTotal
21698000012 $1,500.00 $1,500.00

  		    Total Price  $1,500.00
Discount Code:  (If applicable)
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Please fill out the information below, as it appears on your credit card, so that we can process your order. Fields marked in RED are required to complete your order. You must use your real email address. If you are concerned about your privacy please take a moment to read our privacy statement here.


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(EU customers only, if applicable)

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