Accessory order form, Ccessory, Rder – GE 26939 User Manual
Page 85: Accessory order form 85, Ccessor y
85
DESCRIPTION
AC power adapter
A
CCESSOR
Y
O
RDER
F
ORM
CA
TALOG NUMBER
TOT
AL
QUANTITY
PRICE*
$36.35
Replacement Handset Battery
CUST
OMER: CUT
ALONG DOTTED LINE.
✂
Please make sure that this form has been filled out completely
.
*Prices are subject to change without notice.
Total
Merc
handise.........................................$_______________
S
ales
Tax........................................................$_______________
W
e 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.......................................
$_______________
To
tal
Amount
Enclosed.................................$_______________
order
form
and
money
order
o
r
chec
k
(in
U
.S.
cur
rency)
made
payable
to
Thomson
mulitmedia
Inc.
to:
Thomson multimedia Inc.
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
charge
card
number
,
its
expiration
date
and
your
signature
are
necessary
to
p
rocess
all
charge
card
orders.
Copy
your
complete
account
number
from
your
VISA
card.
My
card
expires:
Copy
your
complete
account
number
from
your
Master Card or Discover
.
Belt Clip
Headset
5-2510
5-2537
$18.35
$8.75
$11.90
To
order
, call
1-800-338-0376
( for accessories only) or complete this form.
5-2459
5-2425