LINE. DOTTEDALONG

CUSTOMER: CUT

FORM

ORDER

ACCESSORY

TOTAL

 

 

 

 

 

 

 

 

 

 

QUANTITY

 

 

 

 

 

 

 

 

 

 

 

 

PRICE*

00.$10

85.$10

35.$36

00.$10

 

 

 

 

 

 

 

NUMBER

 

(black)

2521-5

2555-5

2425-5

2459

 

 

 

 

 

MODEL

 

(white)

2520-5

2552-5

2444-5

-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

.........................................MerchandiseTotal $_______________

........................................................TaxSales $_______________

appropriatethecollecttolawbyrequiredareWe salestaxforeachindividualstate, merchandisethewhichtolocalityandcounty,isbeingsent.Dutieswillapplyfor Canada.toshipments

 

preferably.DiscoverorCardMasterorVISAUse MoneyorderorcheckmustbeinU.S. accessoriesAllCash.orCODNoonly.currencyaresubjecttoavailability.Where supersedingashipwillweapplicable,model.

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

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

 

 

 

 

 

 

 

 

$5.00

 

 

Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders.

 

CopyyourcompleteaccountnumberfromyourVISAcard.

 

 

Mycardexpires:

 

 

 

 

 

Copyyourcompleteaccountnumberfromyour

MasterCardorDiscover.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonmultimediaInc.to:

ThomsonmultimediaInc. MailOrderDepartment

P.O.Box8419

 

 

Ronks,PA17573-8419

Name_______________________________________________________

AddressApt.____________

 

CityState ZIP_________________

DaytimePhoneNumber( )_______________________________

 

 

Copythenumberaboveyour

nameontheMasterCard

 

 

 

 

Mycardexpires:

 

 

 

 

____________________________________________________________________

AuthorizedSignature

Pleasemakesurethatthisformhasbeenfilledoutcompletely.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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GE 26998 manual $5.00