✂LINE. DOTTEDALONG
CUSTOMER: CUT
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QUANTITY |
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PRICE* | $9.95 | $15.50 | ||
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| *Pricesaresubjectto | |
CATALOGNUMBER |
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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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| Copyyourcompleteaccountnumberfromyour |
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| Mycardexpires: |
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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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Please make sure that this form has been filled out completely.
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