RCA CC543 - Manual (Page 17)

Charge your order on your VISA
or Mastercard by
filling in below
USE YOUR C A R D
IMPORTANT: C o p y c o m p l e t e a c c o u n t n u m b e r
from your VISA card
My card expires:
m m
IMPORTANT: C o p y c o m p l e t e a c c o u n t n u m b e r
from your
Copy Number
above your
name on
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and A complete and correct order will
address clearly. This will be your save you days of waiting.
mailing label.
N a m e :
I
I
I
S t r e e t :
I
I
I
Apt:
City:
I
I
State: Zip:
I
I
Please make sure that both sides of this form have
been filled out completely.