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2-9530
ACCESSORY ORDER FORM
CATALOG NUMBER
DESCRIPTION
PR[CE EACH QUANTITY
TOTAL
BT-12 _
m
NICKEL CADMIUM
.
“-’’:’> ~~~N”A ~~:~
5-2346
&
AC POWER
ADAPTER
$9.95
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For credit card Purchases
Prices are subject to change without notice.
Your complete charge card number, its
expiration date and your signature are
necessary to process all charge card orders.
Total Merchandise . . . . . . . . . . . . . . . .
Sales Tax . . . . . . . . . . . . . . . . . . . . . .
We are required by
lawto collectthe
~PP~pfiate
Sales ti for each indi~ua{
state,
county, and locality to which the
memhandise is being sent.
$_
Copy your complete account number from
your VISA card.
mmmm
.
$ 5.00
$_
Shipping, Handling, and Insurance . .
Total Amount Enclosed . . . . . . . . . . . .
Use VISA or Mastetiard preferably,
Money order or check must be in
U.S. currency
only. No COD or
CASH.
My
card expires:
111 /-1
Copy your complete account number from
vour MasterCard.
All accessories sre subject to
~ailaMlity. Where appMcable, we will
ship a su~rseding model.
,“.
J
Copy the number above your
Prices are subject to change without notice. Mail ~
name on the MasterCard
order form and money order or check fin U.S.
currency)
made payable to Thomson Consumer
My card
expires:
[11
Electronics, Inc. to:
Consumer Electronics
Mail Order Depatiment
P.O. 60X 8419
Ronks. PA 175~-8419
*
Authorized Signature
This is your
returnlabel. P!ease print clearly.
To:
Name
Address
Apt._
City
State _
ZIP
Please make sure that this form has been filfed
out completely.
= CUSTOMER: CUT ALONG DOTTED LINE
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