LINE. DOTTEDALONG

CUTCUSTOMER:

FORM

ORDER

ACCESSORY

TOTAL

 

 

 

 

QUANTITY

 

 

 

 

PRICE*

85.$12

25.$3

95.$19

85.$13

CATALOG NUMBER

2605-5

2595-5

2425-5

2548-5

 

 

 

 

 

DESCRIPTION

supplypower AC

clipBelt

Headset

batteryhandset Replacement

To order, call 1-800-338-0376(for accessories only) or complete this order form.

*Prices are subject to change without notice.

For credit card purchases

Merchandise.........................................$_______________

Tax........................................................$_______________

Total

Sales

dateandyour

orders.

number,itsexpiration

processallchargecard

Yourcompletechargecard

signaturearenecessaryto

Wearerequiredbylawtocollecttheappropriatesalestaxforeachindividualstate, county,andlocalitytowhichthemerchandiseisbeingsent.

UseVISAorMasterCardorDiscoverpreferably.MoneyorderorcheckmustbeinU.S. currencyonly.NoCODorCash.Allaccessoriesaresubjecttoavailability.Where applicable,wewillshipasupersedingmodel.

CopyyourcompleteaccountnumberfromyourVISAcard.

 

 

 

 

Mycardexpires:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.......................................Shipping/Handling$_______________

 

 

.................................EnclosedAmountTotal$_______________

ordermoneyandformorderMailorcheck(inU.S.currency)

to:Thomsontopayablemade

Thomson

DepartmentOrderMail

8419BoxP.O.

8419-17573PARonks,

_______________________________________________________Name

 

 

AddressApt.____________

CityState ZIP_________________

(NumberPhoneDaytime)_______________________________

 

$5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copyyourcompleteaccountnumberfromyour

 

 

 

 

 

Copythenumberaboveyour

nameontheMasterCard

 

 

 

 

 

 

____________________________________________________________________

AuthorizedSignature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MasterCardorDiscover.

 

 

 

 

 

Mycardexpires:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

39

Page 39
Image 39
GE 25893 manual $5.00