✂LINE. ALONGDOTTED
CUSTOMER: CUT
ACCESSORY ORDER FORM
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QUANTITY |
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PRICE* | $21.35 | $18.35 | $5.61 | $36.35 |
CATALOGNUMBER | ||||
DESCRIPTION | Replacementhandsetbattery | ACpowersupplyadapter(white) | Beltclip | Headset |
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$18.35
AC power supply adapter (black)
*Prices are subject to change without notice.
For credit card purchases
Your complete charge card number, its expiration date and your
Total Merchandise.........................................$_______________
.orders chargecard
signature are necessary to process all
tax for
thelocality to appropriate saleswhich the
to collectcounty, andsent.
We are requiredeach individualismerchandise by lawstate,being
Copy your complete account number from your VISA card.
Sales Tax........................................................$_______________
mustbeinU.S. | toavailability.Where |
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UseVISAorMasterCardpreferably.Moneyorderorcheck | currencyonly.NoCODorCash.Allaccessoriesaresubject | applicable,wewillshipasupersedingmodel. |
My card expires:
_______________$ | _______________$ |
$5.00 |
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Shipping,Handling,andInsurance | TotalAmountEnclosed |
| Copyyourcompleteaccountnumberfromyour.MasterCard |
Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonConsumerElectronics,Inc.to: | ConsumerElectronics,MailOrderDepartment | P.O.Box8419 |
Copy the number above your name on the MasterCard
Thisisyourreturnlabel.Pleaseprintclearly. | To: | Name________________________________________________________ | AddressApt.____________ | CityState ZIP_________________ |
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| Mycardexpires: |
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| ____________________________________________________________________ | AuthorizedSignature |
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Please make sure that this form has been filled out completely.
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