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Accessory Order Form
To Order
To place your order by phone, have your Visa, MasterCard or Discover Card ready and call the toll- free number listed below.
Use this number only to place an order for accessory items listed on this order form.
To place your order by mail, detach and mail the completed order form with credit card information, money order or check in US currency (made payable to Thomson multimedia Inc.) to the following address:
Here ✂
Thomson Inc.
Mail Order Department
PO Box 910139
Dallas, TX 75391-0139
| Charge your order on your VISA, |
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| MasterCard, or Discover Card by |
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| filling in below |
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USE YOUR CREDIT CARD |
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IMPORTANT: Copy complete account number |
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| from your VISA card |
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| My card expires: |
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IMPORTANT: Copy complete account number | s | r | r | TM | |
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| from your MasterCard |
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Copy Number | My card |
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above your | expires: |
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name on |
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MasterCard |
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IMPORTANT: Copy complete account number |
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| from your Discover Card |
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| My card expires: |
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| AUTHORIZED SIGNATURE |
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(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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Name:
Street:
Apt:
City:
State:Zip:
Daytime phone number:
Please make sure that both sides of this form |
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have been filled out completely. |
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• Allow 4 weeks for delivery. | |
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•All accessories are subject to availability.
•Prices are subject to change.
AC power converter | Headset | ||
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Description | Part No. | Price | Qty Total |
AC power converter |
| $20.85 |
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Headset |
| $19.95 |
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Prices are subject to change without notice. |
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Total Merchandise | $ | _______ | |
Sales Tax | $ | _______ | |
We are required by law to collect the appropriate |
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sales tax for each individual state, county, and |
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locality to which the merchandise is being sent. |
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Shipping and Handling | $ | 5.00 | |
Total Amount Enclosed | $ | _______ | |
Use VISA, MasterCard, or Discover Card preferably. |
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Money order or check must be in U.S. currency only. |
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No COD or CASH. |
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All accessories are subject to availability.
Where applicable, we will ship a superseding model.
Detach
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