RCA 26970 manual Form, Order

✂LINE. DOTTEDALONG

CUTCUSTOMER:

FORM

ORDER

ACCESSORY

TOTAL
QUANTITY
PRICE*	$17.00	$17.00	$28.45	$28.45
CATALOGNUMBER	5-2467	5-2466	5-2432	5-2433
DESCRIPTION	ACpowersupplyadapter(white)	ACpowersupplyadapter(black)	Replacementhandsetbattery(white)	Replacementhandsetbattery(black)

To order, call 1-800-338-0376(for accessories only) or complete this order form.

*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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