GMC 1998 Savana Van Owner's Manual page 373

I I I I I I I
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.
Mail completed order form to:
For purchases outside U S A . please write to the above address for quotation.
HELM, INCORPORATED P.O. Box 07130 Detroit, MI 48207
(CUSTOMERS NAME) (ATTENTION)
(STREET ADDRESS-NO P.O. BOX NUMBERS)
(CITY) (STATE) (ZIP CODE)
. .
DAYTIME TELEPHONE NO.
0
AREA CODE
MC-ORD98 *(Prices are subject to change without notice and without incurring
obligation. Allow ample time for delivery.)
L
-
P
A
Y
M
E
N
T
-
Check or Money
Order payable to
Michigan Purchasers
TOTAL MATERIAL
Helm, Inc. (USA funds
add 6% sales tax
only - do not send cash.)
0
Mastercard
Canadian Postage
0
VISA
0
Discover
U.S. Order Processing
(See Note Below)
$5.00
GRAND TOTAL
-
Account
m l
m l
Number:
Expiration
m
m l
Date mo/yr:
Check here if your billing address
is different from your shipping
address shown.
~
CUSTOMER SIGNATURE
I
~
Note to Canadian Customers: All listed prices are quoted in US. funds. Canadian residents
are to make checks payable in U S . funds. To cover Canadian postage, add $11.50 plus the
U S . order processing.