Brother PT-9600, PT-3600 Touch Accessory Order Form For USA Only, Supply / Accessory Subtotal

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:

1.Review the reverse side of this form and select the desired items.

2.Complete the form above, indicating the quantity of each item.

3.Total the columns and enter the total on the “Supply/Accessory Subtotal” line.

4.Add the appropriate Sales Tax and Shipping/ Handling Charge.

5.Clearly print your name and address in the space below.

6.Place your order

a.Call toll free anytime 1-888-879-3232

b.Order on line at www.brothermall.com

c.Fax completed form to 1-800-947-1445

d.Mail completed form along with proper payment to

BROTHER INTERNATIONAL CORP. Attn: Consumer Accessory Div. P.O.Box 341332

Bartlett, TN 38184-1332

Name:

Address:

City:

State:

Zip:

Daytime Phone #:

Daytime Fax #:

Email:

Your Model Number:

Supply / 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, WI residents add applicable sales tax: $

Shipping and Handling Options	$
Please choose one:
•Standard Freight:
•Continental U.S. ($5.75)
Alaska and Hawaii ($8.75)
GU, PR, VI ($15.75)
•2nd Day Air Freight
(Continental U.S. only): $8.75
•Overnight Delivery
(Continental U.S. only): $14.75
TOTAL DUE	$
No C.O.D. orders

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)

Prices subject to change without notice.All prices quoted in US Dollars. 121