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
Stock No. | Description | Price | Quantity | Total |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal
Name:
Address:
City:
State/Zip:
Daytime Phone:
Accessory Subtotal: | $ |
AZ, CA, CO, CT, FL, GA, IL, LA, |
|
MA, MD, MI, MN, MO, NC, NJ, |
|
NV, NY, OH, PA, TN, TX, VA, WA |
|
residents add applicable sales tax | $ |
Shipping/Handing Options |
|
SEND ORDER FORM TO:
Brother International Corp.
Attn: Consumer Accessory Div.
P.O. Box 341332
Bartlett,
Method of payment (Check one)
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) | $ |
✂
( ) Visa ( ) MasterCard ( ) Discover ( ) American Express ( ) Check/Money Order
Account Number
Expiration Date
Signature
* Prices subject to change without notice.