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PUBLICATION FORM
NUMBEROrders will be mailed within 10 days of receipt. Please allow adequate time for postal
service. If further information is needed, write to the address shown below or call
1-800-551-4123. Material cannot be returned for credit without packing slip with return
information within 30 days of delivery. On returns, a re-stocking fee may be applied
against the original order. ORDER TOLL FREE
(NOTE: For Credit Card Holders Only)1-800-551-4123(Monday-Friday 8:00 AM ± 6:00 PM EST)
FAX Orders Only 1-313-865-5927
Service Manual
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:
HELM, INCORPORATED P.O. Box 07130 Detroit, MI 48207
For purchases outside U.S.A. please write to the above address for quotation.
2000$120.00
2000
$50.00
2000
$20.00
2000
$15.00
TOTAL MATERIAL
Michigan Purchasers
U.S. Order Processing$6.00
Canadian Postage
GRAND TOTAL
add 6% sales tax
(See Note Below)
GM-CHE-ORD99 *(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 U.S. funds. To cover Canadian postage, add $11.50 plus the
U.S. order processing.
(CUSTOMER'S NAME) (ATTENTION)
(STREET ADDRESSÐNO P.O. BOX NUMBERS)
(CITY) (ZIP CODE)
DAYTIME TELEPHONE NO.(STATE)
AREA CODE
( )P
Check or Money
Order payable to
Helm, Inc. (USA funds
only Ð
do not send cash.)
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Account
Number:
Expiration
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CUSTOMER SIGNATURE
S
ITEM DESCRIPTIONNAME YEAR VEHICLE MODEL
QTY.PRICE
EACH*TOTAL
PRICE2
0
0
0
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M
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OA
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