Accessory Order Form

To order accessories, contact your local Dealer. If a dealer is not nearby, you can also follow the directions below to order by telephone or by direct mail.

To place your order by phone, have your VISA, MasterCard or Discover Card ready and call the toll- free number listed below between 8:00 am and 10:00 pm (EST), Monday thru Friday, or 9:00 am and 5:00 pm (EST), Saturday. USE THIS number only to place an order for the accessories listed on this order form.

1-800-338-0376

To place an order by mail, detach and mail the completed order form with credit card information, check or money order (in U.S currency), made payable to Thomson Consumer Electronics, Inc., to the following address.

Video Accessories

P.O. Box 8419

Ronks, PA 17573

DESCRIPTION

 

PART NO.

PRICE

 

QTY.

TOTAL

2nd Room Kit

 

D940EXP

99.95

 

 

 

Chimney Mount

 

D915

22.95

 

 

 

Amplified Antenna

 

ANT200

49.95

 

 

 

Wireless Phone Jack System

 

D916

79.95

 

 

 

In-Line Amplifier

 

D903

24.95

 

 

 

Remote Control Signal Sender

 

D940

59.95

 

 

 

Remote Control Signal Sender

 

 

 

 

 

 

Extension Unit

 

D935

39.95

 

 

 

TOTAL MERCHANDISE

 

 

 

 

 

 

SALES TAX

 

 

 

 

 

 

We are required by law to collect the appropriate sales tax for each individual

 

state, country, and locality to which the merchandise is being sent.

 

 

SHIPPING AND HANDLING

 

 

 

 

 

5.00

TOTAL AMOUNT ENCLOSED

 

 

 

 

 

 

PRICES SUBJECT TO CHANGE WITHOUT NOTICE

 

 

 

Please Allow 4 - 6 Weeks For Delivery

 

 

Use VISA, MasterCard or Discover Card. Money Order or check must be in U.S currency only. No COD or cash.

Name: ___________________________________________________________________________________

Address: _________________________________________________________________________________

Detach Here

City: ___________________________________

Zip Code: _____________________________________

Visa MasterCard Discover

 

Credit Card Number: _______________________________ Expiration Date:____________________

Signature: (Required for Credit Card Orders) _______________________________________________

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RCA Satellite TV Antenna manual Accessory Order Form, Detach Here