ZIP

State

CUSTOMER: CUT ALONG DOTTED LINE.

ACCESSORY ORDER FORM

DESCRIPTION

CATALOG NUMBER

PRICE*

QUANTITY

TOTAL

Replacement handset battery

BT-12

$14.95

 

 

Ac power supply adapter

5-2348

$9.95

 

 

City

Signature

Authorized

For credit card purchases

signature are necessary to process all charge card orders. Copy your complete account number from your VISA card.

My card expires:

Copy your complete account number from your MasterCard.

Copy the number above your name on the MasterCard

My card expires:

*Prices are subject to change without notice.

_______________

We are required by law to collect the appropriate sales tax for each individual state, county, and locality to which the merchandise is being seENT.

$5.00

_______________

Use VISA or MasterCard preferably .Money order or check must be in U.S. currency only. No COD or Cash.

All accessories are subject to availability. Where applicable, we will ship a superseding model.

_______________

_______________

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 17573-8419

This is your return label. Please print clearly.

To:

________________________________________________________

_________________ ________ ________________________

.AptAddress ____________________________________________________________________

13

Please make sure that this form has been filled out completely.

 

 

 

 

 

Your

 

 

 

 

 

complete

 

 

 

 

 

charge

 

 

 

 

 

card

 

 

 

 

 

number,

 

 

 

 

 

its

 

 

 

 

 

expiration

 

 

 

 

 

date

 

 

 

 

 

and

 

 

 

 

 

your

 

 

Total

 

 

Total

 

Name

 

Shipping,

 

 

 

 

 

 

 

 

 

 

 

Sales

 

 

 

Amount

 

 

Merchandise

_____________________________________

 

$

$

Tax

 

 

 

...........................................

 

 

 

Handling,

...................................................

 

 

 

 

 

 

 

 

Enclosed

 

 

 

 

 

.................................

and

 

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

.............

 

 

 

 

 

 

$

 

 

 

 

 

 

$

____________

 

 

 

 

 

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RCA 2-9680 manual Accessory Order Form, $9.95