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ACCESSORY
ORDER
FORM
____________________________________________________________________
Authorized Signature
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_________________
Please make sure that this form has been filled out completely.
DESCRIPTION
My card expires:
Copy the number above your name on the MasterCard
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.
Replacement handset battery
Copy your complete account number from your
MasterCard
.
AC power supply adapter (white)
CATALOG NUMBER
My card expires:
TOTAL
QUANTITY
PRICE*
5-2358
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.........................................$_______________
Sales Tax........................................................$_______________
5-2420A or B
$21.35
$18.35
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.
$5.00
CUSTOMER: CUT ALONG DOTTED LINE.
✂
Belt clip
5-2426
$5.61
Headset
5-2425
$36.35
For credit card purchases
AC power supply adapter (black)
5-4081
$18.35