P-TOUCH ACCESSORY ORDER FORM (For USA Only)
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 #
Description
Quantity
Price
To complete the Order Form: | Supply / Accessory Subtotal: | $ |
1. Select the desired items. |
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(See ACCESSORIES.) | AZ, CA, CO, CT, FL, GA, IL, LA, |
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2. Complete the form above, indicating the MA, MD, MI, MN, MO, NC, NJ, |
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quantity of each item. | NV, NY, OH, PA, TN, TX, VA, WA, WI | |
3.Total the columns and enter the total on the residents add applicable sales tax: $ "Supply/Accessory Subtotal" line.
4.Add the appropriate Sales Tax and Shipping/ Shipping and Handling Options $
Handling Charge. | Please choose one: |
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5. Clearly print your name and address in the | Standard Freight: |
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space below. | Continental U.S. ($5.75) |
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6. Place your order |
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Alaska and Hawaii ($8.75) |
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a. Call toll free anytime | GU, PR, VI ($15.75) |
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b. Order on line at www.brot | 2nd Day Air Freight |
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c. Fax completed form to |
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(Continental U.S. only): $8.75 |
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d. Mail completed leted form along with proper | Overnight Delivery |
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payment to | (Continental U.S. only): $14.75 |
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BROTHER INTERNATIONAL CORP. |
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Attn: Consumer Accessory Div. | TOTAL DUE | $ | |
P.O.Box 341332 | |||
No C.O.D. orders |
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Bartlett, TN |
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Name:
Address:
City:
State:
Zip:
Daytime Phone #:
Daytime Fax #:
Email:
Your Model Number:
Prices subject to change without notice.All prices quoted in US Dollars.
