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Order Form for Insight Clearview Discs

Please complete the following order form. Flint Six will respond with a formal quote via email. Payment available through Cheque, EFT, or Credit Card (subject to a 4% convenience fee). Purchase orders may be used for customers with approved credit. Please email Brandon@FlintSix.com for credit application. Custom dimensions are available and Flint Six will request additional information via email prior to processing the order. Please note that custom sizes are subject to additional lead time. All prices are subject to GST. Bulk order discounts will be extended for larger order quantities.

Purchaser's Name

First Name

Last Name

Purchaser's Email

Company

Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Purchase Order Number

Purchase orders are only available for customers with existing credit approval

Order Qty 200mm ($85):

Order Qty 300mm ($120):

Order Qty 400mm ($165):

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Flint Six Inc.