PONTIAC SERVICE PUBLICATIONS ORDER FORM
NOTE: Please complete form below (Print or Type) and MAIL TO:
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Post Office Box 07130, Detroit, Michigan 48207
ORDER TOLL FREE *Minimurn Credit Card Order $10.00
For Card "Older Orders Only) If further information is needed, write Helm or call (313) 883-1430.
ORDER INFORMATION NOT AVAILABLE THROUGH THE TOLL FREE NUMBER. 1-800-782-4356
(Monda -Frida 8:30 A.M.~:OO P.M. EST)
NOTE: Dealers and Companies please provide dealer or company name, an\
d
also the name of the person to whose attention the shipment should be sent.
For purchases outside U.S.A. please write to the above address for quotation.
(CUSTOMER NAME) (ATTENTION)
(STREET ADDRESS-NO
P.O. BOX NUMBERS) (APT. NO.)
(CITY) (STATE) (ZIP CODE)
DAYTIME TELEPHONE
NO. CODE
TOTAL MATERIAL
0 Check or Money Michigan Purchasers Order payable to , add 4% sales tax. Helm, Inc. (USA Handling Charge I funds only - do not $3.50
send cash.) Canadian Postage/ $6.50
MasterCard I
VISA
Account Number:
WI ml m]
Expiration rl [[ Check here if your billing Date molyr: shipping address shown.
address is different
from your
(CUSTOMER SIGNATURE)
Handling (U.S. Funds)
GRAND TOTAL
I
ProCarManuals.com
