Send
to:
Rocky
Mountain Insight
2525 W. Pikes Peak Suite B
Colorado Springs, CO 80904
Please Print Clearly
Name:
____________________________________
Address: __________________________________
City: _____________________________________
State: _______________________ Zip: _________
Please include the following
information in case we need to contact you about your order:
Day Phone: (_____)_______________ Evening Phone: (_____)_______________
E-mail Address: ____________________________
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Colorado residents add 2.9% tax |
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Shipping and Handling Charges (All
Orders) |
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