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124
Information
Authorized Manuals
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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.
Customer Name Attention
Street Address/P. O. Box Apartment Number
City State Zip Code
Daytime Telephone Number
Customer Signature
Check or money order enclosed payable to Helm Inc.
U.S. funds only. Do not send cash.
MasterCard Account Numbers
VISA
Discover
Date
Check here if your billing address is different
from the shipping address shown above.
Security Code
Expiration: Mo. Yr.
These Publications cannot be returned for credit without receiving advance authorization within
14 days of delivery. For returns, a restocking fee may be applied against the original order.
HELM P.O. BOX 07280, DETROIT, MICHIGAN 48207
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