LINE. DOTTEDALONG

CUTCUSTOMER:

FORM

ORDER

ACCESSORY

TOTAL

 

 

 

 

 

 

 

 

 

QUANTITY

 

 

 

 

 

 

 

 

 

PRICE*

$18.35

$8.75

$36.35

$11.90

 

 

 

 

 

CATALOGNUMBER

5-2510

5-2535

5-2425

5-2522

DESCRIPTION

ACpoweradapter

BeltClip

Headset

ReplacementHandsetBattery

 

 

 

 

 

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

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

Ronks,PA17573-8419

Name_______________________________________________________

AddressApt.____________

Copyyourcompleteaccountnumberfromyour

 

 

 

 

 

Copythenumberaboveyour

nameontheMasterCard

 

 

 

 

 

 

 

____________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MasterCardorDiscover.

 

 

 

 

 

 

 

Mycardexpires:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized Signature

State ZIP_________________

)_______________________________

City________________________

DaytimePhoneNumber(

 

Pleasemakesurethatthisformhasbeenfilledoutcompletely.

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GE 27939 manual $18.35 $8.75 $36.35 $11.90