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PONTIAC SERVICE PUBLICATIONS ORDER FORM<br />

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NOTE: Please complete form below (Print or wpe) and _MAIL TO:<br />

mm<br />

Post Office Box 07130, Detroit Michi an 48207<br />

I I I I I<br />

I<br />

NOTE: Dealers and Companies please provide dealer or company name, and<br />

also the name of the person to whose attention the shipment should be sent.<br />

For purchases outside U.S.A. please write to the above address for quotation.<br />

(CUSTOMER NAME) (ATTENTION)<br />

(STREET<br />

ADDRESS-NO P.O. BOX NUMBERS) (APT. NO.)<br />

I GRAND TOTAL I<br />

I<br />

(CITY) (STATE) (ZIP CODE)<br />

DAYTIME TELEPHONE NO. $%: (<br />

293

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