Accessory order form, Ccessory, Rder – GE 2-9774 User Manual

Page 35

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35

A

CCESSORY

O

RDER

F

ORM

CATALOG NUMBER

DESCRIPTION

My card expires:

My card expires:

____________________________________________________________________

Authorized Signature

Copy the number above your
name on the MasterCard

TOTAL

QUANTITY

PRICE*

BT-12

For credit card purchases

Your complete charge card number, its expiration date and your
signature are necessary to process all charge card orders.

Copy your complete account number from your VISA card.

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.

*Prices are subject to change without notice.

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

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

Replacement handset battery

5-2429

$14.95

$9.95

Copy your complete account number from your MasterCard.

AC power supply adapter

Use VISA or MasterCard 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, and Insurance............. $_______________

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

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

P.O. Box 8419

Ronks, PA 17573-8419

This is your return label. Please print clearly.

To:

Name________________________________________________________

Address_____________________________________ Apt.____________

City ________________________State________ ZIP_________________

$5.00

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

CUSTOMER: CUT ALONG DOTTED LINE.

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