ZIP
State
City
Signature
Authorized
CUSTOMER: CUT ALONG DOTTED LINE. ✂
ACCESSORY ORDER FORM
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| DESCRIPTION |
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| CATALOG NUMBER |
| PRICE* |
| QUANTITY |
| TOTAL |
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| Replacement handset battery |
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| $14.95 |
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| AC power supply adapter |
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| $9.95 |
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| Belt clip |
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| $4.75 |
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| Headset |
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| $26.35 |
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For credit card purchases |
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| *Prices are subject to change without notice. |
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| _______________ |
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signature are necessary to process all charge card orders. |
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Copy your complete account number from your VISA card. |
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| We are required by law to collect the appropriate sales tax for |
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| each individual state, county, and locality to which the |
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| merchandise is being sent. |
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My card expires: |
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| Use VISA or MasterCard preferably. Money order or check must be in U.S. currency |
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| only. No COD or Cash. |
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| All accessories are subject to availability. Where applicable, we will ship a |
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| superseding model. |
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| $5.00 |
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Copy your complete account number from your MasterCard. |
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| Mail order form and money order or check (in U.S. currency) |
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| made payable to Thomson Consumer Electronics, Inc. to: |
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_________________ ________ ________________________
.AptAddress ____________________________________________________________________
23
Name
_____________________________________
____________
Copy the number above your name on the MasterCard
My card expires:
Total |
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| Shipping, |
Amount |
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| Handling, |
Enclosed |
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................................. | and |
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| Insurance |
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$ | $ |
Consumer Electronics
Mail Order Department
P.O. Box 8419
Ronks, PA
This is your return label. Please print clearly.
To:
________________________________________________________
Please make sure that this form has been filled out completely.
| Your |
| complete |
| charge |
| card |
| number, |
| its |
| expiration |
| date |
| and |
| your |
| Total |
Sales | Merchandise |
| |
Tax |
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........................................................ | ......................................... |
$ | $ |
