ACCESSORY ORDER FORM
For credit card purchases
Your complete charge card number, itsexpiration date and your signature are necessary to process all charge card orders.
Copy your complete account number from your VISA card. ~
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My card expires:
Copy your complete account number from your MasterCard.
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Copy the number above your name on the MasterCard
My card expires:
Authorized Signature
Prices are subject to change without notice.
Total Merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ We are required by Iew to collect the appropriate salss tax for each in-
dividual state, county, and locality to which the memhmdiss Is being sent.
Shipping, Handling, andlnsurance . . . . . . . . . . . . . . . . . . $ 5.00
Total Amount Enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
UseVlW40rMaeterCard preferably.Moneyorder orcheck must be in U.S. currency only. No COD or CASH.
All accessories ars subject to avallabiltty. WhSre explicable, we will chip s superseding model.
Prices are subject to change without notice. Mail order form and money order or check (in U.S. currency) made payable to Thomson Consumer Electronics, Inc. to:
Consumer Electronics
Mail Order Department P.O. BOX 8419
Ronks, PA
This is your return label. Please print clearly.
To:
Name
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Please make sure that this form has been filled out completely.
