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To place an order, just complete the following information and fax or mail to:
Marlin's Motorcycles FAX: (248) 683-8284
(very important; please print clearly!)
Your Shipping Address:
Company Name _____________________________________________
Name _____________________________________________________
Your Address _________________________________________
City, State ______________________________________________
Zip/Postal Code, Country _________________________________
Daytime Telephone Number (important!) ______________________
FAX Number (if you have one) ______________________
Email Address _____________________________________
Order Information:
Item
Number ______Description ________________________________________________
Comments ____________________________________________________________
Quantity ___________________________________________________ Price_________
Item
Number ______Description ________________________________________________
Comments ____________________________________________________________
Quantity ____________________________________________________Price_________
Item
Number ______Description ________________________________________________
Comments ____________________________________________________________
Quantity ___________________________________________________ Price_________
Item
Number ______Description ________________________________________________
Comments ____________________________________________________________
Quantity ____________________________________________________Price_________
Subtotal __________________________
Michigan. add State Sales Tax ______________
Call for shipping info 1-800-777-5543
Shipping ______________
TOTAL______________
Payment Information:
American Express Card __Visa __MasterCard __
Check enclosed (Call for amount) ____Money order (Call for amount)______
______________________________________________ __________
Credit Card Number (13-16 digits) Exp. Date
Name on card______________________________________________
Signature ______________________________________________
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Marlin's Motorcycles
Call 1-800-777-5543
http://www.icc-comm.com
http://www.marlins-motorcycles.com
Last update 12/8/2000