GE 21011 - Manual (Page 61)

61
Please mak
e sur
e that this f
o
rm
has been filled out complet
ely
.
A
CCESSOR
Y
O
RDER
F
ORM
CUS
T
OMER:
CUT
AL
ONG DO
T
TED LINE.
✂
*Prices are subject to change without notice. Total Merc
handise.........................................$_______________
S
ales T
ax........................................................$_______________
We
are required by law to collect the appropriate sales tax for each individual state,
county
, and locality to which the merchandise is being sent. Duties will apply for
shipments to Canada. Use VISA or Master Card or Discover preferably
. Money order or check must be in U.S.
currency only
. No COD or Cash. All accessories are subject to availability
. Where
applicable, we will ship a superseding model. Shipping/Handling....................................... $_______________ To
tal Amount
Enclosed.................................$_______________
Mail order form and money order or c
hec
k (in U
.S. cur
rency)
made payable to
Thomson to:
Thomson Mail Order Department P.
O. Box 8419
Ronks, P
A
17573-8419
Name_______________________________________________________ Address_____________________________________
Apt.____________
City ________________________State________ ZIP_________________ Daytime Phone Number ( )_______________________________
$5.00
____________________________________________________________________
Authoriz
ed Signature
My card expires: Copy the number abo
ve your
name on the
Master Card
For credit card purchases Y
our complete c
harge card number
, its expiration date and your
signature are necessary to process all c
harge card order
s.
Copy your complete account number from your
VISA
card.
My card expires:
Copy your complete account number from your Master Card or Discover
.
To
order
, call
1-800-338-0376
(for accessories only) or complete this order form.
DESCRIPTION
AC power adapter
MODEL NUMBER
TOT
AL
PRICE* $36.35
Replacement Handset Battery
Belt Clip Headset
5-2562 5-2561
$18.35
$8.75
$11.90
5-2459 5-2425