Isuzu NPR 2008 Owner's Manual page 189

55702_Sec07_'08 08.2.12 9:57 AM Page 5
ORDER TOLL FREE: 1-800-782-4356
By completing this form you can order the materials desired. You can pay by check or
money order, or charge to your credit card. Mail to Helm, incorporated at the address
shown below.
PUBLICATION FORM NUMBER
2
0
0
8
Orders are mailed within 10 days.
Please allow adequate time for delivery.
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. For purchases outside U.S.A. please write
S
to the above address for quotation.
H
I
(CUSTOMER NAME)
P
(STREET ADDRESS-NO P.O. BOX NUMBERS)
T
(CITY)
O
Check or money order enclosed
payable to Helm, Inc.
(U.S. funds only —
do not send cash.)
P
A
Master Card
Y
Account
M
Number
E
N
T
Material cannot be returned for credit without receiving advance authorization within
14 days of delivery. On returns, a restocking fee may be applied against the original
order.
P.O. BOX 07280 • DETROIT, MICHIGAN 48207
(NOTE: For Credit Card Holders Only)
Monday-Friday 8:30 A.M. -6:00 P.M. EST
(MINIMUM CREDIT CARD PURCHASE $10.00)
—OR—
VEHICLE MODEL
NAME
(
AREA
CODE
Check here if your billing address is different from
VISA
the shipping address shown.
(CUSTOMER SIGNATURE)
PRICE
QTY.
EACH
YEAR
TOTAL MATERIAL
MICH. PURCHASERS
ADD 6% SALES TAX
HANDLING CHARGE
GRAND TOTAL
(ATTENTION)
(APT. NO.)
(STATE) (ZIP CODE)
)
(DAYTIME TELEPHONE NO.)
Expiration
Mo-Yr
(DATE)
TOTAL
PRICE
$6.95