Accessory order form, Mastercard – GE 7-2867 User Manual

Page 14

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ACCESSORY ORDER FORM

For credit card purchases

Your complete charge card number, itsexpiration date and

signature

necessary to process all charge card orders.

Copy your complete account number from your VISA card.

My card expires:

Copy your complete account number from your

MasterCard.

Copy the number above your
name on the MasterCard

My card expires:

Authorized Signature

Prices are subject to change without notice.

Total Merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

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

We are required by

to

collect

appropriate

tax for

in-

dividual state, county,

to which the

Is being

sent.

Shipping, Handling,

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

5.00

Total Amount Enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

preferably.Moneyorder

must be in U.S. currency only. No COD or CASH.

All accessories

subject to

explicable,

will chip

s superseding model.

Prices are subject to change without notice. Mail order form and money order
or check (in U.S. currency) made payable to Thomson Consumer Electronics,
Inc. to:

Consumer Electronics
Mail Order Department

B

OX

8419

PA 17573-8419

This is your return label. Please print clearly.

To:

Name

Address

A p t . _

City

State

ZIP

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

CUSTOMER: CUT ALONG DOTTED LINE.

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