✂LINE. DOTTEDALONG
CUTCUSTOMER:
FORM
ORDER
ACCESSORY
TOTAL
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PRICE* | $18.35 | $8.75 | $36.35 | $11.90 | |
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MODELNUMBER | |||||
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DESCRIPTION | ACpoweradapter | BeltClip | Headset | ReplacementHandsetBattery |
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*Prices are subject to change without notice.
For credit card purchases
.........................................MerchandiseTotal $_______________ | ........................................................TaxSales $_______________ | appropriatethecollecttolawbyrequiredareWe salestaxforeachindividualstate, merchandisethewhichtolocalityandcounty,isbeingsent.Dutieswillapplyfor Canada.toshipments |
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| preferably.DiscoverorCardMasterorVISAUse MoneyorderorcheckmustbeinU.S. accessoriesAllCash.orCODNoonly.currencyaresubjecttoavailability.Where model.supersedingashipwillweapplicable, |
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| .......................................Shipping/Handling$_______________ | .................................EnclosedAmountTotal $_______________ | ||||||
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| $5.00 |
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Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders. |
| CopyyourcompleteaccountnumberfromyourVISAcard. |
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| Mycardexpires: |
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| Copyyourcompleteaccountnumberfromyour | MasterCardorDiscover. |
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Mailorderformandmoneyorderorcheck(inU.S.currency) | madepayabletoThomsonto: |
| Thomson | MailOrderDepartment | P.O.Box8419 | Name_______________________________________________________ | AddressApt.____________ | |||
| Copythenumberaboveyour | nameontheMasterCard |
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| Mycardexpires: |
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| ____________________________________________________________________ |
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Authorized Signature
State ZIP_________________ | )_______________________________ |
City________________________ | DaytimePhoneNumber( |
| Pleasemakesurethatthisformhasbeenfilledoutcompletely. |
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