
✂LINE. DOTTEDALONG
CUSTOMER: CUT
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| QUANTITY | 
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| PRICE* | $9.95 | $15.50 | ||
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| AOFCCESSORYRDER | DESCRIPTION | Replacementhandsetbattery | ACpowersupply(white) | Forcreditcardpurchases | 
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| .........................................MerchandiseTotal $_______________ | ........................................................TaxSales $_______________ | appropriatethecollecttolawbyrequiredareWe salestaxforeachindividualstate, merchandisethewhichtolocalityandcounty,isbeingsent.Dutieswillapplyfor Canada.toshipments | 
 | preferably.DiscoverorCardMasterorVISAUse MoneyorderorcheckmustbeinU.S. accessoriesAllCash.orCODNoonly.currencyaresubjecttoavailability.Where model.supersedingashipwillweapplicable, | ........................................Shipping/Handling$_______________ | 
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 | .................................EnclosedAmountTotal $_______________ | ordermoneyandformorderMailorcheck(inU.S.currency) ConsumerThomsontopayablemade Electronics,Inc.to: | ||||||||
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 | $5.00 | 
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| Yourcompletechargecardnumber,itsexpirationdateandyour signaturearenecessarytoprocessallchargecardorders. | 
 | CopyyourcompleteaccountnumberfromyourVISAcard. | 
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 | Mycardexpires: | 
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 | MasterCardorDiscover. | 
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| TCE | MailOrderDepartment | P.O.Box8419 | 
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 | Name_______________________________________________________ | AddressApt.____________ | CityState ZIP_________________ | DaytimePhoneNumber( )_______________________________ | 
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| Copythenumberaboveyour | nameontheMasterCard | 
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 | Mycardexpires: | 
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 | ____________________________________________________________________ | AuthorizedSignature | 
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