✂LINE. DOTTEDALONG
CUTCUSTOMER:
FORM
ORDER
ACCESSORY
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QUANTITY |
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PRICE* | $17.00 | $17.00 | $28.45 | $28.45 |
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CATALOGNUMBER |
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DESCRIPTION | ACpowersupplyadapter(white) | ACpowersupplyadapter(black) | Replacementhandsetbattery(white) | Replacementhandsetbattery(black) |
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To order, call
*Prices are subject to change without notice.
For credit card purchases
Merchandise.........................................$_______________
Total yourand
dateexpiration
completeYour cardcharge number, its
Sales Tax........................................................$_______________
signature are necessary to process all charge card orders.
Wearerequiredbylawtocollecttheappropriatesalestaxforeachindividualstate, county,andlocalitytowhichthemerchandiseisbeingsent.Dutieswillapplyfor shipmentstoCanada. | UseVISAorMasterCardorDiscoverpreferably.MoneyorderorcheckmustbeinU.S. currencyonly.NoCODorCash.Allaccessoriesaresubjecttoavailability.Where applicable,wewillshipasupersedingmodel. |
CopyyourcompleteaccountnumberfromyourVISAcard. |
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$5.00_______________
$.......................................
Shipping/Handling
TotalAmountEnclosed.................................$_______________ | Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonConsumerElectronics,Inc.to: | TCE | MailOrderDepartment | P.O.Box8419 |
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| Name_______________________________________________________ | AddressApt.____________ | CityState ZIP_________________ | DaytimePhoneNumber( )_______________________________ |
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Copyyourcompleteaccountnumberfromyour MasterCardorDiscover. |
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| Copythenumberaboveyour | nameontheMasterCard |
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| Mycardexpires: |
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| ____________________________________________________________________ | AuthorizedSignature |
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Please make sure that this form has been filled out completely.
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