GE 2-9753 Accessory Order Form, BT-12, $14.95, 5-2412, $9.95, 5-2411, Signature Authorized, card

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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 (Ivory)	5-2412	$9.95
AC power supply adapter (Black)	5-2411	$9.95

City

Signature

Authorized

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 the number above your name on the MasterCard

My card expires:

*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 ____________________________________________________________________

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

					Your
		Copy			complete
		your
		complete
		account			charge
					card
					number,
		number
					its
		from			expiration
		your
		MasterCard
					date
		.			and
					your
		Total			Total
	Name			Sales
			Shipping,
		Amount			Merchandise
_____________________________________		$	$	Tax
			Handling,
		Enclosed			..........................................
				........................................................
		.................................	and
			Insurance
			.............
				$	$
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