✂
LINE.DOTTED
ALONGCUT
CUSTOMER:
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NUMBERCATALOGPRICE* |
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| $9.95 |
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AOCCESSORYRDER |
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DESCRIPTION | Replacementhandsetbattery | ACpowersupplyadapter(black) | Forcreditcardpurchases |
Merchandise.........................................$_______________
Total yourand
dateexpiration
completeYour cardcharge number, its
Sales Tax........................................................$_______________
signature are necessary to process all charge card orders.
Wearerequiredbylawtocollecttheappropriatesalestaxforeachindividualstate, county,andlocalitytowhichthemerchandiseisbeingsent. | UseVISAorMasterCardorDiscoverpreferably.MoneyorderorcheckmustbeinU.S. currencyonly.NoCODorCash.Allaccessoriesaresubjecttoavailability.Where applicable,wewillshipasupersedingmodel. |
CopyyourcompleteaccountnumberfromyourVISAcard. |
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.......................................Shipping/Handling$_______________ | .................................EnclosedAmountTotal $_______________ | ordermoneyandformorderMailorcheck(inU.S.currency) | ConsumerThomsontopayablemade Electronics,Inc.to: | TCE | DepartmentOrderMail | 8419BoxP.O. |
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| _______________________________________________________Name | Address Apt.____________ | CityState ZIP_________________ | (NumberPhoneDaytime)_______________________________ | |||||||
$5.00 |
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| Copyyourcompleteaccountnumberfromyour |
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| Copythenumberaboveyour | nameontheMasterCard |
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| ____________________________________________________________________ |
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Authorized Signature
Please make sure that this form has been filled out completely.
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