ACCESSORIES |
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| Charge your order on your VISA, |
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| MasterCard, or Discover Card by |
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| filling in below |
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USE YOUR CREDIT CARD |
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| Use this number only to place an order for accessory items | |||
IMPORTANT: Copy complete account number |
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| from your VISA card |
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| - listed on this order form. | |||
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| My card expires: |
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| - | order form with credit card information, money order or check | ||
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| - | Electronics, Inc.) to the following address: | |
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| s r | r TM | Video Accessories | ||
IMPORTANT: Copy complete account number | |||||||
PO Box 8419 | |||||||
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| from your MasterCard |
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| - | Ronks, PA 17573 | ||
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Copy Number | My card |
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above your | expires: |
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name on |
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MasterCard |
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IMPORTANT: Copy complete account number |
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| from your Discover Card |
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| My card expires: |
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| AUTHORIZED SIGNATURE |
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(Credit card order will not be processed without signature) | - |
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Print or type your name and | A complete and correct |
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address clearly. | order will save you days |
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| of waiting. |
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Name: |
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Street: |
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City: |
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State: |
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Phone Number: |
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Please make sure that both sides of this form |
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have been filled out completely. |
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• | Allow 4 weeks for delivery. |
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• | All accessories are subject to availability. |
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• | Prices are subject to change |
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