_______________
$5.00
_______________

ZIP

State

ACCESSORY ORDER FORM

20

DESCRIPTION

CATALOG NUMBER

PRICE*

QUANTITY

TOTAL

AC power supply adapter (white)

5-2420A or B

$18.35

 

 

 

 

 

 

AC power supply adapter (black)

5-4081

$18.35

 

 

 

Belt clip (white)

5-2439

$5.61

 

 

 

Belt clip (black)

5-2440

$5.61

 

 

 

Headset

5-2425

$36.35

 

 

 

Replacement battery

5-2358

$21.35

 

 

City

Signature

For credit card purchases

signature are necessary to process all charge card orders. Copy your complete account number from your VISA card.

My card expires:

Copy your complete account number from your MasterCard.

*Prices are subject to change without notice.

_______________

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.

_______________

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:

Authorized

_________________ ________ ________________________

.AptAddress ____________________________________________________________________

Copy the number above your

Consumer Electronics

name on the MasterCard

Mail Order Department

 

 

 

 

 

 

 

 

P.O. Box 8419

 

 

 

 

Ronks, PA 17573-8419

My card expires:

This is your return label. Please print clearly.

 

 

 

 

To:

 

 

 

 

 

 

 

 

 

________________________________________________________

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

CUSTOMER: CUT ALONG DOTTED LINE.

 

 

 

 

 

Your

 

 

 

 

 

complete

 

 

 

 

 

charge

 

 

 

 

 

card

 

 

 

 

 

number,

 

 

 

 

 

its

 

 

 

 

 

expiration

 

 

 

 

 

date

 

 

 

 

 

and

 

 

 

 

 

your

 

 

Total

 

 

Total

 

Name

 

 

Sales

 

 

 

 

Shipping,

Tax

 

 

 

Amount

 

 

 

 

 

 

 

 

Merchandise

_____________________________________

 

$

$

$

$

 

 

.................................

Handling,

........................................................

.........................................

 

 

Enclosed

 

 

 

 

 

 

and

 

 

 

 

 

Insurance

 

 

 

 

 

.............

 

 

____________

 

 

 

 

 

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GE 15432970 manual Accessory Order Form, 2358 $21.35