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P. O. BOX 07280, DETROIT, MICHIGAN 48207
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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
Check or money order enclosed payable to Helm Inc. U. S. funds only. Do not send cash.
Check here if your billing address is different from the shipping address shown above.
VISA
Discover
MasterCard
Account Number
Expiration: Mo. Yr.
Customer Signature
Date
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.
Security Code
(
)
HELM
204
Consumer Information
08/09/17 14:23:24 31HN1700 0213
Содержание SPORTRAX 400X
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