REFERENCE |
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| Charge your order on your VISA, |
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| MasterCard, or Discover Card by |
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| filling in below |
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USE YOUR CREDIT CARD |
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IMPORTANT: Copy complete account number |
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| from your VISA card |
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| My card expires: |
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IMPORTANT: Copy complete account number | s | r | r | TM | |
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| from your MasterCard |
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Copy Number | My card |
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above your | expires: |
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name on |
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MasterCard |
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IMPORTANT: Copy complete account number |
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| from your Discover Card |
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| My card expires: |
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| AUTHORIZED SIGNATURE |
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(Credit card order will not be processed without signature) | |||||
Print or type your name and | A complete and correct |
address clearly. | order will save you days |
| of waiting. |
Name:
Street:
Apt:
City:
State:Zip:
Daytime Phone Number:
Please make sure that both sides of this form have been filled out completely.
•Allow 4 weeks for delivery.
•All accessories are subject to availability.
•Prices are subject to change
Placing an Order
To place your order by phone, have your Visa, MasterCard or Discover Card ready and call the
Use this number only to place an order for accessory items listed on this order form.
To place your order by mail, detach and mail the completed order form with credit card information, money order or check in US currency (made payable to Thomson Consumer Electronics, Inc.) to the following address:
Video Accessories
PO Box 8419
Ronks, PA 17573
86
