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Other Information
| Charge your order on your VISA. | ||||||
| MasterCard. | or | Discover | Card | by | ||
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| filling | in below |
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USE YOUR | CREDIT | CARD |
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| VISA" | ||
IMPORTANT: | Copy | complete | account | number | |||
Splitter VH47 | |||||||
| from | your | VISA | card |
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My card expires: _
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IMPORTANT: Copy complete account number fronl yotn MasterCard
[SI]ZD |
| ANT200 |
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| Remote | Control |
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Copy Number | My.card | _2"27 |
| This | is the remoW control that | |||||
above your | expires: |
| • | J | came | packed | u,itb.pour | TE | ||
name | on |
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MasterCard |
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| Replacemellts | or spares | ca_ be | |||
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| .y_ .. | ordered | as | needed¸ |
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IMPORTANT: | Copy | complete account number |
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| from | your Discover Card |
| j,J.j |
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| FFTT] |
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| My card expires: _ |
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| CRK76TE1 |
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AUTHORIZED SIGNATURE
(Credit card order Will not be processed without signature)
Print or | type your name and | A complete and correct |
address | clearly, | order will save you days |
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| of waiting. |
Name:
Street:
Apt:
City:
State: | Zip: |
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Daytime phone number:
To Order
To place your order by phone, have your Visa, MasterCard or Discover Card ready and call the
Use this nunrber only to place an order for accessory items hsted on thl.s order fort'n,
To place your order by mail, detach and mail the completed order lorm with credit card information, money order or check in US currency (made payable to Thomson Consumer Electronics, Inc.) to the following address:
Please make sure that both sides of this form have been filled out completely.
•Allow 4 weeks for delivery.
•All accessories are subject to availability.
•Prices are subject to change.
POBox 8419
Video Accessories
Ronks, PA 17573
58 | Chapter 5 |