![](/images/new-backgrounds/1200328/200328109x1.webp)
✂LINE. DOTTEDALONG
CUTCUSTOMER:
FORM
ORDER
ACCESSORY
TOTAL |
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QUANTITY |
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PRICE* | $18.35 | $8.75 | $36.35 | $11.90 |
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CATALOGNUMBER | ||||
DESCRIPTION | ACpoweradapter | BeltClip | Headset | ReplacementHandsetBattery |
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To order, call
*Prices are subject to change without notice.
For credit card purchases
Merchandise.........................................$_______________ | Tax........................................................$_______________ |
Total | Sales |
Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders. | CopyyourcompleteaccountnumberfromyourVISAcard. |
We are required by law to collect the appropriate sales tax for each individual state, county, and locality to which the merchandise is being sent. Duties will apply for shipments to Canada.
orcheckmustbeinU.S. | availability.Where | $5.00 |
UseVISAorMasterCardorDiscoverpreferably.Moneyorder | currencyonly.NoCODorCash.Allaccessoriesaresubjectto | applicable,wewillshipasupersedingmodel. |
My card expires:
Shipping/Handling.......................................$_______________ | TotalAmountEnclosed.................................$_______________ | Mailorderformandmoneyorderorcheck(inU.S.currency) | madepayabletoThomsonmultimediaInc.to: |
| ThomsonmultimediaInc. | MailOrderDepartment | P.O.Box8419 | Name_______________________________________________________ | AddressApt.____________ | ||||||
Copyyourcompleteaccountnumberfromyour |
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| Copythenumberaboveyour | nameontheMasterCard |
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| ____________________________________________________________________ |
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MasterCardorDiscover. |
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| Mycardexpires: |
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Authorized Signature
State ZIP_________________ | )_______________________________ |
City________________________ | DaytimePhoneNumber( |
| Pleasemakesurethatthisformhasbeenfilledoutcompletely. |
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