![](/images/new-backgrounds/1295044/295044169x1.webp)
✂LINE. DOTTEDALONG
CUSTOMER: CUT
FORM
ORDER
ACCESSORY
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QUANTITY |
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PRICE* | $18.35 | $8.75 | $36.35 | $11.90 |
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CATALOGNUMBER | ||||
DESCRIPTION | ACpoweradapter | BeltClip | Headset | ReplacementHandsetBattery |
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To order, call
*Prices are subject to change without notice.
For credit card purchases
Merchandise.........................................$_______________
Total yourand
dateexpiration
completeYour cardcharge itsnumber,
Sales Tax........................................................$_______________
signature are necessary to process all charge card orders.
Wearerequiredbylawtocollecttheappropriatesalestaxforeachindividualstate, county,andlocalitytowhichthemerchandiseisbeingsent.Dutieswillapplyfor shipmentstoCanada. | UseVISAorMasterCardorDiscoverpreferably.MoneyorderorcheckmustbeinU.S. currencyonly.NoCODorCash.Allaccessoriesaresubjecttoavailability.Where applicable,wewillshipasupersedingmodel. |
CopyyourcompleteaccountnumberfromyourVISAcard. |
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$5.00_______________
$.......................................
Shipping/Handling
TotalAmountEnclosed.................................$_______________ | Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonmulitmediaInc.to: | ThomsonmultimediaInc. | MailOrderDepartment | P.O.Box8419 |
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| Name_______________________________________________________ | AddressApt.____________ | CityState ZIP_________________ | DaytimePhoneNumber( )_______________________________ |
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Copyyourcompleteaccountnumberfromyour MasterCardorDiscover. |
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| Copythenumberaboveyour | nameontheMasterCard |
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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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