
8 - O
WNER
S
ERVICE
A
SSISTANCE
90-8M0077672 JUNE 2013
63
1
2
3
4
5
6
7
8
9
Submit the following order
form with payment to:
Mercury Marine
Attn: Publications Department
W6250 West Pioneer Road
P.O. Box 1939
Fond du Lac, WI 54936-1939
Ship To: (Copy this form and print or type–This is your shipping
label)
Name
Address
City, State, Province
ZIP or postal code
Country
Qty.
Item
Stock Number
Price
Total
.
.
.
.
.
.
.
.
.
.
Total Due
.