RCA 21015 manual $5.00

✂LINE. DOTTEDALONG

CUTCUSTOMER:

FORM

ORDER

ACCESSORY

TOTAL
QTY.
PRICE*	$18.35	$8.75	$36.35	$11.90
MODELNUMBER	White 5-2621	5-2607	5-2425	5-2548
	Black 5-2596

DESCRIPTION ACpoweradapter BeltClip Headset ReplacementHandsetBattery

To order, call 1-800-338-0376(for accessories only) or complete this order form.

*Prices are subject to change without notice.

For credit card purchases

.........................................MerchandiseTotal$_______________	........................................................TaxSales$_______________	appropriatethecollecttolawbyrequiredareWe salestaxforeachindividualstate, merchandisethewhichtolocalityandcounty,isbeingsent.Dutieswillapplyfor Canada.toshipments	preferably.DiscoverorCardMasterorVISAUse MoneyorderorcheckmustbeinU.S. accessoriesAllCash.orCODNoonly.currencyaresubjecttoavailability.Where model.supersedingashipwillweapplicable,		.......................................Shipping/Handling$_______________	.................................EnclosedAmountTotal$_______________
				$5.00
Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders.		CopyyourcompleteaccountnumberfromyourVISAcard.	Mycardexpires:		Copyyourcompleteaccountnumberfromyour	MasterCardorDiscover.

Mailorderformandmoneyorderorcheck(inU.S.currency)	madepayabletoThomsonto:		Thomson	MailOrderDepartment	P.O.Box8419	Ronks,PA17573-8419	Name_______________________________________________________	AddressApt.____________
	Copythenumberaboveyour	nameontheMasterCard				Mycardexpires:		____________________________________________________________________

Authorized Signature

State ZIP_________________	)_______________________________
City________________________	DaytimePhoneNumber(
	Pleasemakesurethatthisformhasbeenfilledoutcompletely.

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