✂LINE. DOTTEDALONG
CUSTOMER: CUT
FORM
ORDER
ACCESSORY
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QUANTITY |
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| PRICE* | 00.$10 | 85.$10 | 35.$36 | 00.$10 | |
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NUMBER |
| (black) | 2459 | |||
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MODEL |
| (white) | ||||
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DESCRIPTION | supplypower AC | clipBelt | Headset | batteryhandset Replacement |
To order, call
*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 $_______________ | |||||||
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| $5.00 |
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Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders. |
| CopyyourcompleteaccountnumberfromyourVISAcard. |
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| Mycardexpires: |
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| Copyyourcompleteaccountnumberfromyour | MasterCardorDiscover. |
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Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonmultimediaInc.to: | ThomsonmultimediaInc. MailOrderDepartment | P.O.Box8419 |
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| Name_______________________________________________________ | AddressApt.____________ |
| CityState ZIP_________________ | DaytimePhoneNumber( )_______________________________ |
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| Copythenumberaboveyour | nameontheMasterCard |
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| Mycardexpires: |
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| ____________________________________________________________________ | AuthorizedSignature | Pleasemakesurethatthisformhasbeenfilledoutcompletely. |
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