Loading ...
Loading ...
Loading ...
−
NOTE: Dealers and Companies pleaseprovide dealer orcompany name, and also thename of the person to whose attention the
shipment should be sent.
Customer Name Attention
Zip CodeStateCity
Daytime Telephone Number
Checkhere if yourbilling address is differentfrom the
shipping address shown above.
Check ormoney order enclosed payable toHelm Inc.
U.S. funds only. Do not send cash.
MasterCard
VISA
Discover
Account Number
Date
These Publications cannot be returnedfor credit without receiving advance authorization within 14 days of delivery. For returns, a restocking fee may
be applied against the original order.
Expiration: Mo. Yr.
Customer Signature
Apartment NumberStreet address/P. O. BOX
Security Code
()
P.O. BOX 07280, DETROIT, MICHIGAN 48207
HELM
S
H
I
P
T
O
P
A
Y
M
E
N
T
230
Consumer Information
０９／０７／２３ １８：２４：２９ ３１ＭＥＷＡ００ ０２３９
Loading ...
Loading ...
Loading ...