P-TOUCH ACCESSORY ORDER FORM

Dear Customer:

This order form is provided for your convenience should your retailer not stock the item(s) needed. To order by mail, send this completed form along with proper payment to the address below OR credit card holders: Call toll-free 1-888-879-3232, fax completed order form to 1-800-947-1445, or visit our web site at http://www.brothermall.com. Please refer to the Accessories listing in your User's Guide for stock no. and price.

Stock No.

Description

Price

Quantity

Total

Subtotal

Name:

Address:

City:

State/Zip:

Daytime Phone:

SEND ORDER FORM TO:

Brother International Corp.

Attn: Consumer Accessory Div.

P.O. Box 341332

Bartlett, TN38184-1332

Method of payment (Check one)

( ) Visa ( ) MasterCard ( ) Discover (

Account Number

Expiration Date

Signature

Accessory Subtotal:

$

AZ, CA, CO, CT, FL, GA, IL, LA, MA,

 

MD, MI, MN, MO, NC, NJ, NV, NY,

 

OH, PA, TN, TX, VA, WAresidents

$

add applicable sales tax

Shipping/Handing Options

 

Please choose one:

 

Standard ($5.00)

2nd day air freight ($8.75) Mandatory for all deliveries outside of the continental U.S. (Alaska, Hawaii, Puerto Rico, Virgin Islands & Canada)

• All other overseas orders ($25.00)

$

TOTAL DUE (US dollars)

$

) American Express ( ) Check/Money Order

* Prices subject to change without notice.

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Brother 1810, 1800 manual Touch Accessory Order Form