ORDER FORM
FOR TRANSMITTER 101BP
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 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.
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128-8802
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