CUSTOMER: CUT ALONG DOTTED LINE. ✂
ACCESSORY ORDER FORM
DESCRIPTION | CATALOG NUMBER | PRICE* | QUANTITY | TOTAL |
Replacement handset battery | $14.95 |
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AC power supply adapter | $9.95 |
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For credit card purchases
Your complete charge card number, its expiration date and your signature are necessary to process all charge card orders.
Copy your complete account number from your VISA card.
My card expires:
Copy your complete account number from your MasterCard.
Copy the number above your name on the MasterCard
My card expires:
____________________________________________________________________
Authorized Signature
*Prices are subject to change without notice. |
|
Total Merchandise | $_______________ |
We are required by law to collect the appropriate sales tax for | |
each individual state, county, and locality to which the |
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merchandise is being sent. |
|
Sales Tax | $_______________ |
Use VISA or MasterCard preferably. Money order or check must be in U.S. currency only. No COD or Cash.
All accessories are subject to availability. Where applicable, we will ship a | ||
superseding model. | $5.00 | |
Shipping, Handling, and Insurance | ||
$_______________ | ||
Total Amount Enclosed | $_______________ | |
Mail order form and money order or check (in U.S. currency) made payable to Thomson Consumer Electronics, Inc. to:
Consumer Electronics
Mail Order Department
P.O. Box 8419
Ronks, PA
This is your return label. Please print clearly.
To:
Name________________________________________________________
Address_____________________________________ Apt.____________
City ________________________State________ ZIP_________________
Please make sure that this form has been filled out completely.