ORDERFORMFOR 093BPr Transmitter
Attention: Transmitter Ordering Department
Important: To help us expedite your order, please print all of the information legibly and mail this form and your payment ac- cording to the instructions below.
Indicate the pad number of your transmitter selected from the pads shown above.
Note: Transmitter model number found on back of case.
1)Name: _______________________________________
2)Address: ______________________________________
3)City: ________________ State: _____ Zip Code: ________
4)Telephone Number: (_____) _______________
5)Total Number Of Transmitters Required:
Cost Per Transmitter is: | $70.00 |
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
CreditCardNumber:
_________________________________
Credit Card Expiration Date: ____ / _____ / _____
8) Mail this form along with your payment to:
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and follow the instructions from the operator interface.Credit card purchasers can order additional or replacement
Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, N.Y., 11788
Attn.: TRANSMITTER DEPARTMENT
7
128-8698
7 of 8
