Flagstaff / Shamrock Literature Request Form |
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| Ship to:
Dealer Number ___________________________________________
Dealer Name ____________________________________________
Street __________________________________________________
City / St / Zip _____________________________________________
Attention ________________________________________________ |
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| Ordered By _______________________________ Phone __________________________
Please print this page, enter the number of cases of literature required in the appropriate boxes above, sign and fax it to (574) 642-4999. |
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