Home : Radiation Protection : International Quotation Request

International Quotation Form
(For Customers Outside the Continental United States)

We appreciate your interest and are happy to be of service. You may purchase AttenuTech radiation protection products online with your credit card by using this form to request a price quotation. We will reply promptly with the total price (including shipping charges), your unique QUOTATION NUMBER, and instructions for submitting your credit card information.

For Laser eyewear, please send and email inquiry to intl@barrieronline.com, stating the product model and your shipping address, including phone number. We will respond with estimated cost and payment instructions.

International Quotation Request Form
(All fields are required)
Contact Name:
Title:
Facility:
Address 1:
Address 2:
City:
Country:
Postal Code:
Phone:
E-mail:

 

Provide quote for the following products: (check all that apply)
MicroLite Series MicroLitePlus Radiation Safety Protective Leaded Eyewear

MicroLitePlus Leaded Eyewear:

Silver:

Plano QTY:

RX QTY:

Bifocal QTY:

Matte Black:

Plano QTY:

RX QTY:

Bifocal QTY:

MicroLite Series MicroLite8 Radiation Reducing Leaded Eyewear

MicroLite 8 Leaded Eyewear

Midnight Blue:

Plano (Non-Rx) QTY:

Rx (Prescription) QTY:

Bifocal QTY:

Silver:

Plano (Non-Rx) QTY:

Rx (Prescription) QTY:

Bifocal QTY:

MicroliteM3 Radiation Safety Protective Leaded Eyewear with revolutionary aluminum alloy frame body, adjustable nosepieces and spring hinge for comfort, protection and style.

MicroLiteM3 Leaded Eyewear:

Grey:

Plano QTY:

RX QTY:

Bifocal QTY:

 

FB500 Radiation Safety Protective Leaded Eyewear

FB500 Leaded Eyewear

Plano (Non-Rx) QTY:

Rx (Prescription) QTY:

MAX Radiation Reducing Leaded Gloves

MAX Leaded Gloves:
Select Glove Size

MAX1 QTY: boxes

MAX2 QTY: boxes

Offer Code (Optional):
Comments (Optional):

 

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