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
I ORDER TOLL FREE *Minimum Credit Card Order $10.00
NOTE: Dealers and Companies please provide dealer or company name, an\
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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.
Account
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A
(CUSTOMER NAME) (ATTENTION)
(STREET ADDRESS-NO P.O.
BOX NUMBERS) (APT. NO.)
(CIPI) (STATE) (ZIP CODE)
DAYTIME TELEPHONE NO. CODE Expiration ml
Check here if your billing
Date rnolyr: address isdifferent frornyour
shipping address shown.
CUSTOMER SIGNATURE)
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