ZIP
State
ACCESSORY ORDER FORM
20 | DESCRIPTION | CATALOG NUMBER | PRICE* | QUANTITY | TOTAL |
AC power supply adapter (white) | $18.35 |
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| AC power supply adapter (black) | $18.35 |
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| Belt clip (white) | $5.61 |
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| Belt clip (black) | $5.61 |
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| Headset | $36.35 |
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| Replacement battery |
| $21.35 |
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City
Signature
For credit card purchases
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.
*Prices are subject to change without notice.
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We are required by law to collect the appropriate sales tax for each individual state, county, and locality to which the merchandise is being sent.
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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.
Mail order form and money order or check (in U.S. currency) made payable to Thomson Consumer Electronics, Inc. to:
Authorized
_________________ ________ ________________________
.AptAddress ____________________________________________________________________
Copy the number above your | Consumer Electronics | ||||
name on the MasterCard | Mail Order Department | ||||
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| P.O. Box 8419 | |
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| Ronks, PA | |
My card expires: | |||||
This is your return label. Please print clearly. | |||||
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Please make sure that this form has been filled out completely.
CUSTOMER: CUT ALONG DOTTED LINE. ✂
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| Insurance |
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