FOR PARTS
REOUESTS ONLY
.
Be
sure
to follow
instructions carefully.
o
Use
a separate
letter for
all
correspondence.
o
Please
allow
10
-
14
days for
mail
delivery
time,
DO NOT WBITE
IN THIS SPACE
INSTRUCTIONS
.
Please
print
all
information requested.
o
Be
sure
you
list the
correct
HEATH
part
number
exactly as
it
appears
in
the
parts
list.
o
lf
you
wish
to
prepay your
order,
mail this card
and
your
payment
in
an envelope.
Be
sure
to include
10%
(25Q
minimum,
$3.50
maximum) for insurance, shipping and
handling. Michigan residents add 4%
tax.
Total
enclosed
$-
o
lf
you prefer
COD shipment, check the
COD
box and
mail
this
form. COD
n
NAME
ADDRESS
CITY
STATE
The
information
requested in the next two lines
is not required
when
purchasing
nonwarranty
replacement
parts,
but
it can
help us
provide you
with better
products
in the
future.
Model
# lnvoice #
Location
Purchased
Dale
Purchased
LIST HEATH
PART NUMBER
OTY
PRICE
EACH
TOTAL
PRICE
TOTAL
FOR PARTS
HANDLING AND SHIPPING
MICHIGAN RESIDENTS
ADD 4%
TAX
TOTAL AMOUNT OF ORDER
SEND
TO: HEATH COMPANY
BENTON HARBOR
MTcHtGAN 49022
ATTN: PARTS REPLACEMENT
Phone
(Replacement parts
only):616 982-3571
U
z
J
o
U
F
F
o
(,
z
a
F
l
o
THIS
FORM IS FOR
U.S. CUSTOMERS ONLY
OVERSEAS CUSTOMERS
SEE YOUR OISTRIBUTOR
DO NOT WRITE
IN THIS
SPACE
The information requested in the
next two lines
is not required
when
purchasing
nonwarranty replacement
pans,
but it can
help us
provide you
with
better
products
in the
future.
SEND
TO: HEATH COMPANY
BENTON HARBOR
MTcHtGAN 49022
ATTN:
PARTS
REPLACEMENT
Phone
(Replacement parts
only): 616 982-3571
THIS FORM IS FOR
U.S. CUSTOMERS ONLY
OVERSEAS CUSTOMERS
SEE YOUR
DISTRIBUTOR
FOR PARTS
REQUESTS ONLY
.
Be sure to follow instructions carefully.
o
Use
a
separate
letter for all correspondence.
o
Please allow
10
-
14
days
for mail delivery time.
INSTRUCTIONS
.
Please
print
all information requested.
.
Be
sure
you
list
the correct
HEATH
part
number exacily as
it
appears
in
the
parts
list.
o
lf
you
wish
to
prepay your
order, mail this card and
your
payment
in an envelope. Be sure to
include 10%
(254
minimum,
$3.50
maximum) for
insurance,
shipping
and
handling.
Michigan residents
add
4"k
tax.
Total
enclosed
$-
o
lf
you preler
COD shipment,
check the COD box and mail
this form. COD
n
lnvoice #
Location
Purchased
TOTAL FOR PARTS
HANDLING AND SHIPPING
MICHIGAN RESIDENTS
ADD 4% TAX
TOTAL AMOUNT OF ORDER
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