Audiovox 5125 manual Order Form

ORDER FORM

FOR TRANSMITTER 091BPr

Attention: Transmitter Ordering Department

Important: To help us expedite your order, please print all of the information legibly and mail this form and your pay-

ment according to the instructions below. 1)Name:_____________________________________

2)Address:_________________________________________

3)City:________________State:________Zip Code:__________

4 Telephone Number: (		)_____________________
5)	Total Number Of Transmitters Required:_______
Cost Per Transmitter is:			$65.00
Multiply By Number Of Transmitters			X
6)	Enter Total Amount Enclosed		_______

(New York State Residents must include the appropriate sales tax)

7) Method of Payment:
Mastercard	Visa	Check or Money Order (do not send cash)
Make Checks Payable To Audiovox Corporation
Credit Card Number:___________________________________
Credit Card Expiration Date:		____/___/____

8) Mail this form along with your payment to:

Transmitter Ordering Department

Audiovox Corporation 150 Marcus Blvd., Hauppauge N.Y.

11788

Credit card purchasers can order additional or replacement transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and follow the instructions from the operator interface.

© 2009 Audiovox Electronics Corp., Hauppauge, N.Y. 11788	128-8707
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