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CUSTOMER: CUT ALONG DOTTED LINE. ✂
ACCESSORY ORDER FORM
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| DESCRIPTION |
| CATALOG NUMBER | PRICE* | QUANTITY | TOTAL | |||||
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| Replacement handset battery |
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| $9.95 |
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| AC power supply adapter (black) | $14.95 |
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| AC power supply adapter (white) | $14.95 |
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For credit card purchases |
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| *Prices are subject to change without notice. |
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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 each individual state, | |||
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| county, and locality to which the merchandise is being sent. |
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| Use VISA or MasterCard or Discover preferably. Money order or check must be in U.S. | |||
My card expires: |
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| currency only. No COD or Cash. All accessories are subject to availability. Where | ||||||||||
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| applicable, we will ship a superseding model. |
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Copy your complete account number from your |
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29
Master Card or Discover.
Copy the number above your name on the MasterCard
Authorized Signature
Mail order form and money order or check (in U.S. currency) made payable to Thomson Consumer Electronics, Inc. to:
TCE
Mail Order Department
P.O. Box 8419
Ronks, PA
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.AptAddress
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| Name |
Daytime | _____________________________________ |
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Phone |
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| ____________ |
Please make sure that this form has been filled out completely.
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| Your |
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| complete |
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| charge |
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| card |
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| number, |
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| its |
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| expiration |
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| date |
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| and |
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| your |
Total |
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| Total |
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| Sales |
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| Shipping, | Tax |
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Amount |
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| ........................................................ | Merchandise |
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| Handling, |
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Enclosed |
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| and |
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| Insurance |
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$ | $ | $ | $ |
$
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00