Flagstaff / Shamrock Literature Request Form
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Ship to:

Dealer Number ___________________________________________


Dealer Name ____________________________________________


Street __________________________________________________


City / St / Zip _____________________________________________


Attention ________________________________________________
Tent Camper cases
5th Wheel / Travel Trailer cases
Shamrock cases
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.