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:
SEND ORDER FORM TO:
Brother International Corp.
Attn: Consumer Accessory Div.
P.O. Box 341332
Bartlett,
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.