Heathkit IM-4180 - Page 26

| FOR PARTS REQUESTS ONLY |
Be sure to follow instructions carefully. |
Use a separate ietter for ail correspondence.
Please allow 10 - 14 days for mail delivery time.
aye
DO NOT WRITE IN THIS SPACE
| INSTRUCTIONS |
[ @ Please print all information requested. [
® Besure you iist the correct HEATH part number exactiy as
| it appears in the parts list. |
| ® If you wish to prepay your order, mail this card and your |
paymeni in an enveiope. Be sure to inciude 10% (25¢
| minimum, $3.50 maximum) for insurance, shipping and
| handling. Michigan residents add 4% tax.
| Total enclosed $
| ment, check the COD box and mail
Set Ne er ee CA ee
@ lf you prefer COD ship
this card coD [J
| NAME |
|
sores
|
| CITY |
tinn ran
LM dis heel
Bsn od at
ie. 6) wr
invoice ¥ a |
Date Location
TOTAL FOR PARTS
| HANDLING AND SHIPPING | |
| MICHIGAN RESIDENTS ADD 4% TAX | |
[ TOTAL AMOUNT OF ORDER
| SEND TO: HEATH COMPANY
BENTON HARBOR
i MICHIGAN 49022 i
ATTN: PARTS REPLACEMENT |
| Phone (Replacement parts only): 616 982-3571 |
THIS FORM IS FOR U.S. CUSTOMERS ONLY
OVERSEAS CUSTOMERS SEE YOUR DISTRIBUTOR
| a i a ee ee ee ee ee eee ees CUT ALONG DOTTED LINE m cme cme come oe ce oe ee ee ee es ees ee es eee ee cs es es ee ees) ee |
| FOR PARTS REQUESTS ONLY
® Be sure to follow instructions carefully.
@ Use a separate letter for all correspondence.
@ Please allow 10 - 14 davs for mail delivery time.
ways Sov ae eee Ad
DO NOT WRITE IN THIS SPACE
INSTRUCTIONS
@ Please print all information requested.
® Be sure you list the correct HEATH part number exactly as
it annears in the narts list
Pose es ree SP pect ft.
If you wish to prepay your order, mail this card and your
payment in an envelope. Be sure to include 10% (25¢
minimum, $3.50 maximum) for insurance, shipping and
handling. Michigan residents add 4% tax.
Total enclose
-)
e)
oa
NAME
CITY
ADDRESS —————______
The information requested in the next two lines is not required
| when purchasing nonwarranty replacement parts, but it can
i help us provide you with better products in the future.
Modei # ——_— invoice # ____
| Date Location
Purchased Purchased
PRICE
EACH
LIST HEATH
PART NUMBER
TOTAL
PRICE
|
QTY.
| TOTAL FOR PARTS | |
|
HANDLING
AND
SHIPPING
|
[ MICHIGAN RESIDENTS ADD 4% TAX | |
TOTAL AMOUNT OF ORDER
HEATH COMPANY
RENTON HARROR
ee ee a
MICHIGAN 49022
SEND TO: |
ATTN: PARTS REPLACEMENT |
Phone (Replacement parts only): 616 982-3571
THIS FORM IS FOR U.S. CUSTOMERS ONLY
OVERSEAS CUSTOMERS SEE YOUR DISTRIBUTOR