GE 15362520 manual Accessory Order Form, $9.95

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$5.00

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ZIP

State

CUSTOMER: CUT ALONG DOTTED LINE. ✂

ACCESSORY ORDER FORM

DESCRIPTION	CATALOG NUMBER	PRICE*	QUANTITY	TOTAL
Replacement handset battery	BT-12	$14.95
AC power supply adapter	5-2429	$9.95

City

Signature

Authorized

For credit card purchases

Your complete charge card number, its expiration date and your signature are necessary to process all charge card orders.

Copy your complete account number from your VISA card.

My card expires:

Copy the number above your name on the MasterCard

My card expires:

35

*Prices are subject to change without notice.

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We are required by law to collect the appropriate sales tax for each individual state, county, and locality to which the merchandise is being sent.

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Use VISA or MasterCard preferably. Money order or check must be in U.S. currency only. No COD or Cash.

All accessories are subject to availability. Where applicable, we will ship a superseding model.

Mail order form and money order or check (in U.S. currency) made payable to Thomson Consumer Electronics, Inc. to:

Consumer Electronics

Mail Order Department

P.O. Box 8419

Ronks, PA 17573-8419

This is your return label. Please print clearly.

To:

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_________________ ________ ________________________

.AptAddress ____________________________________________________________________

Please make sure that this form has been filled out completely.

		Copy
		your
		complete
		account
		number
		from
		your
		MasterCard
		.
		Total			Total
	Name			Sales
			Shipping,
		Amount			Merchandise
_____________________________________		$	$	Tax
				...................................................
			Handling,
		Enclosed
			and
			Insurance
			.............
		.................................		...
				$
					$
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