Brother 2410, 2400 Touch Accessory Order Form, Stock No Description Price Quantity Total Subtotal

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 Acces- sories 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:

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, TN38184-1332

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.