RCA 26730 Accessory Order Form, $9.95, $14.95, Customer Cut Along Dotted Line, Description, Price

ZIP

State

City

CUSTOMER: CUT ALONG DOTTED LINE. ✂

ACCESSORY ORDER FORM

		DESCRIPTION		CATALOG NUMBER		PRICE*	QUANTITY	TOTAL
	Replacement handset battery				BT-12	$9.95
	AC power supply adapter (black)		5-2455			$14.95
	AC power supply adapter (white)		5-2454			$14.95
For credit card purchases					*Prices are subject to change without notice.
signature are necessary to process all charge card orders.								_______________
								_______________
Copy your complete account number from your VISA card.
					We are required by law to collect the appropriate sales tax for each individual state,
					county, and locality to which the merchandise is being sent.
					Use VISA or MasterCard or Discover preferably. Money order or check must be in U.S.
My card expires:					currency only. No COD or Cash. All accessories are subject to availability. Where
					applicable, we will ship a superseding model.
								_______________
								_______________
Copy your complete account number from your

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 17573-8419

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	Name
Daytime	_____________________________________
Phone
Number
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	____________

Please make sure that this form has been filled out completely.

			Your
			complete
			charge
			card
			number,
			its
			expiration
			date
			and
			your
Total			Total
		Sales
	Shipping,	Tax
Amount
		........................................................	Merchandise
.................................			.........................................
	Handling,
Enclosed
	and
	Insurance
	.............
$	$	$	$

$

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