Order Form

Fill out this order form and mail it with your payment to Insight, 721 Hawthorne St., Royal Oak, MI 48067. Currently we are unable to credit cards. Make all checks out to Insight.

Name:
Address:
City:
State:
Zip:
Telephone:

Shipping Address (if different than above):

Name:
Address:
City:
State:
Zip:

Item	Qty	Item Price	Total Price
Merchandise Total
6% sales tax (MI residents only)
Shipping (from table below)
Total Enclosed

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