Insinger Machine Company

PO or Reference Number

Contact Information
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Account Number
PO Number
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Phone*
Fax
Email*
Contact Name*
Extension
Order Information
Machine Model Number
Serial Number
Part Number Description Quantity
Please call me, I need help with my order.
The best time to call me is AMPM
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Shipping Information
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Method of Shipping
Delivery information or Special Instructions

NOTE: Orders above $100 will incur a $10 handling fee. Orders below $100 will incur a $20 handling fee

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