Brother PT-18R manual Touch Accessory Order Form For USA Only

Method of Payment (check one)

( ) Visa ( ) Master Card ( ) Discover

( ) Check/Money Order ( ) American Express

Account Number

Expiration Date Signature

Billing Address (if different from shipping address at left)

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 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 #

Description

Quantity

Price

To complete the Order Form:	Supply / Accessory Subtotal:	$
1. Select the desired items.
(See ACCESSORIES.)	AZ, CA, CO, CT, FL, GA, IL, LA,
2. Complete the form above, indicating the MA, MD, MI, MN, MO, NC, NJ,
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:
5. Clearly print your name and address in the	Standard Freight:
space below.	Continental U.S. ($5.75)
6. Place your order
	Alaska and Hawaii ($8.75)
a. Call toll free anytime 1-888-879-3232	GU, PR, VI ($15.75)
b. Order on line at www.brot	2nd Day Air Freight
c. Fax completed form to 1-800-947-1445
	(Continental U.S. only): $8.75
d. Mail completed leted form along with proper	Overnight Delivery
payment to	(Continental U.S. only): $14.75
BROTHER INTERNATIONAL CORP.
Attn: Consumer Accessory Div.	TOTAL DUE	$
P.O.Box 341332
	No C.O.D. orders
Bartlett, TN 38184-1332

Name:

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Your Model Number:

Prices subject to change without notice.All prices quoted in US Dollars.