ORDER FORM FOR 4 BUTTON
TRANSMITTER MODEL NO. PRO-OE4BS
Important: To help us expedite your order, please print all of the information legibly and mail this form and your payment according to the instructions below.
Note: Order
Order
1)Pad Number: _____________________________________
2)Name: __________________________________________
3)Address: ________________________________________
4) City: ____________ | State: ____ | Zip Code: __________ | |||||
5) | Telephone Number: ( |
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6) | Total Number Of Transmitters Required: | ||||||
Cost Per Transmitter is: |
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| $65.00 |
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Multiply By Number Of Transmitters | X | ||||||
7)Enter Total Amount Enclosed
(New York State Residents must include the appropriate sales tax)
8)Method of Payment:
Mastercard
Visa 
Check or Money Order
(do not send cash)
Make Checks Payable To Audiovox Corporation
Credit Card Number: _________________________________
Credit Card Expiration Date: | / | / |
9) Mail this form along with your payment to:
Audiovox Electronics Corp., 150 Marcus Blvd. Hauppauge, NY, 11788
Attn.: TRANSMITTER DEPARTMENT
128-5868
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