ORDER TOLL FREE Orders will be mailed within 10 days of receipt. Please allow ade uate time for postal
(NOTE: For Credit Card Holders Only) service. If further information is needed, wrlte to the address s gn own below or call
(Monday-Friday 8:OO AM - 6:OO PM EST) information within 30 days of delivery. On returns, a re-stocking fee may be applied 1-800-782-4356 1-800-782-4356. Material cannot be returned for credit without packing slip with return
FAX Orders Only 1-31 3-865-5927 against the original order.
PUBLICATION FORM
NUMBER
9
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7
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NOTE: Dealers and Companies please provide dealer or company name, and also the
name of the person to whose attention the shipment should be sent.
Mail completed order form to:
For purchases outside USA. please write to the above address for quotation.
HELM, INCORPORATED P.O. Box 07130 Detroit, MI 48207
(CUSTOMER'S NAME) (ATTENTION)
(STREET
ADDRESS-NO P.O.
BOX NUMBERS)
(CITY) (STATE) (ZIP CODE) DAYTIME TELEPHONE
NO. 0
AREA CODE
P
A
Y
E
N
T
Check or Money
Order payable to
Helm, Inc.
(USA funds
only - do not send cash.) .
Mastercard
0 VISA
Discover
TOTAL MATERIAL
Michigan Purchasers
add 6% sales tax
U.S. Order Processing $5.00
Canadian Postage
(See Note Below)
GRAND TOTAL
Account
Number:
ml
Expiration m ml Check here if your billing address
Date mo/yr: is different from your shipping
address shown.
CUSTOMER SIGNATURE I
GM-OLD-ORD97 '(Prices are subject to change without notice and without incurring
obligation. Allow ample time for delivery.) Note to Canadian Customers:
All listed prices are quoted in U.S. funds. Canadian residents
are to make checks payable in US. funds. To cover Canadian postage, add $1 1.50 plus the US. order processing.
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