LINE. DOTTEDALONG

CUSTOMER: CUT

FORM

ORDER

ACCESSORY

TOTAL

QUANTITY

 

 

 

 

 

thisform.

 

 

 

 

 

 

 

only)orcomplete

PRICE*

$18.35

$8.75

$36.35

$11.90

 

 

 

 

 

 

 

338-0376(foraccessories

CATALOGNUMBER

Black

5-2510

5-2451

5-2425

5-2459

 

White

5-2511

5-2452

5-2444

 

 

 

 

 

 

 

 

Toorder,call1-800-

DESCRIPTION

ACpoweradapter

BeltClip

Headset

ReplacementHandsetBattery

 

*Prices are subject to change without notice.

For credit card purchases

Merchandise.........................................$_______________

Total yourand

dateexpiration

completeYour cardcharge number, its

Sales Tax........................................................$_______________

signature are necessary to process all charge card orders.

Wearerequiredbylawtocollecttheappropriatesalestaxforeachindividualstate, county,andlocalitytowhichthemerchandiseisbeingsent.Dutieswillapplyfor shipmentstoCanada.

UseVISAorMasterCardorDiscoverpreferably.MoneyorderorcheckmustbeinU.S. currencyonly.NoCODorCash.Allaccessoriesaresubjecttoavailability.Where applicable,wewillshipasupersedingmodel.

CopyyourcompleteaccountnumberfromyourVISAcard.

 

 

 

 

Mycardexpires:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$5.00_______________

$.......................................

Shipping/Handling

TotalAmountEnclosed.................................$_______________

Mailorderformandmoneyorderorcheck(inU.S.currency) madepayabletoThomsonConsumerElectronics,Inc.to:

TCE

MailOrderDepartment

P.O.Box8419

Ronks,PA17573-8419

 

 

Name_______________________________________________________

AddressApt.____________

CityState ZIP_________________

DaytimePhoneNumber( )_______________________________

 

Copyyourcompleteaccountnumberfromyour MasterCardorDiscover.

 

 

Copythenumberaboveyour

nameontheMasterCard

 

 

 

 

 

Mycardexpires:

 

 

____________________________________________________________________

AuthorizedSignature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

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