Section 8 - Customer Assistance Information
90-879172181 eng FEBRUARY 2011 Page 137
Please submit the
following order form with
payment to:
Mercury Marine
Attn: Publications Department
W6250 West Pioneer Road
P.O. Box 1939
Fond du Lac, WI 54936-1939
Ship To: (Please copy this form and print or type–This is your shipping label)
Name
Address
City, State, Province
ZIP or postal code
Country
Quantity Item Stock Number Price Total
. .
. .
. .
. .
. .
Total Due . .