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| |Honda Powersports |

| |Service Publications |

|TECHNICAL SCHOOL/ |Honda offers a 20% discount off the suggested retail price of |

|STUDENT ORDER FORM |its service manuals to accredited technical schools and their students.* |

| |

|ORDERING PROCEDURE: |

|Add the School Details* and Ship To information in the boxes to the right. |

|Find manual(s), Part number(s), and price(s), using the Honda Service and Owner Information search on the Helm website. |

|Add the manual information to the table below. Subtract the discount and add the handling charge and sales tax (if applicable). |

|Add the Credit/Debit Card Payment and Required Information. Add the Billing Address if different from the Ship To address. |

|File > Save As the form to your computer using your last name and date as the file name (i.e: Smith2-5-13). |

|Open a new email message and type hondaorderdesk@ as the Send To address. |

|Attach the form you saved to the email and then Send it. |

|PART NUMBER |ITEM DESCRIPTION |QTY. † |PRICE EACH |TOTAL PRICE |

|(Example: 61CSM00) |(Example: COMMON SERVICE MANUAL) | | | |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|†Quantity Limits: Students, 1 per individual manual; Schools, unlimited. |SUBTOTAL |      |

| | | |

|ORDER INFORMATION: | | |

|- 20% discount is taken before the handling charge and applicable sales tax. | | |

|- Orders will be filled based on item availability. | | |

|- Allow 14 days for delivery. | | |

|- Manuals cannot be returned for credit without receiving advance authorization within 14 days of | | |

|delivery. | | |

|- On returns, a restocking fee may be applied against the original order. | | |

|- Prices are subject to change without notice and without incurring obligation. | | |

| | | |

|For further information or assistance, email hondaorderdesk@ or call | | |

|(888) 292-5393. | | |

| |SUBTRACT 20% OF SUBTOTAL |      |

| |DISCOUNTED SUBTOTAL |      |

| |ADD HANDLING CHARGE |$6.00 |

| |ADD SALES TAX: |      |

| |CA 7.25%, GA 4% | |

| |MI 6%, TX 6.25% | |

| |GRAND TOTAL |      |

|SCHOO|SCHOOL REP./STUDENT NAME STUDENT I.D. # |

|L | |

|DETAI| |

|LS* | |

| |      |      |

| |SCHOOL NAME |

| |DEPARTMENT |

| |      |      |

| |CITY |

| |STATE ZIP |

| |      |   |      |

| |SCHOOL ACCREDITING ORGANIZATION |

| |      |

*School details must be completed to obtain discount.

|SHIP |NAME |

|TO | |

| |      |

| |SCHOOL NAME/DEPARTMENT (if shipped to school) |

| |      |

| |ADDRESS (NO P.O. BOXES) APT./ ROOM / MAIL STOP # |

| |      |      |

| |CITY |

| |STATE ZIP |

| |      |   |      |

|REQUIRED INFORMATION |

|PHONE NUMBER |

|      |

|EMAIL ADDRESS |

|      |

|BILLING ADDRESS (if different from shipping) |

|ADDRESSS |

|      |

|CITY |

|STATE ZIP |

|      |   |      |

|CREDIT/DEBIT CARD PAYMENT |

| VISA Master Card Discover |

|Account Number |

|      |

|Expiration (Mo - Yr) CVV Code* |

|      |     |

|NAME ON CARD |

|      |

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Check here if your billing address is different from the shipping address shown above and add billing address on the right.

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