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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. Please indicate which button pad is used with your transmitter as indicated above.
Transmitter model number is found on rear case.___________________
1.Name : _________________________________________________
Address : __ ___________________________________________
City : ___________________ State : ______ Zip Code : __________
2.Telephone Number : (________) _____________________________
3.Enter the total number of transmitters required here : _____________
4.The cost per transmitter is $ 65.00.
5.Enter the total amount enclosed here : ________________________
( New York state residents must include the appropriate sales tax. )
6.Method of payment; check one of the boxes below.
Mastercard | Visa | Check or money order * (do not send cash) |
*Make checks payable to Audiovox Corporation
7.Credit Card Number : ______________________________________
8.Credit Card Expiration Date : __________________________
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.
9. Mail this form, and your check, to ;
150 . , .. 11788
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