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To Order
To place your order by phone, have
your Visa, MasterCard or Discover
Card ready and call the toll-free
number listed below.
Use this number only to place an
order for accessory items listed on
this order form.
1-800-338-0376
To place your order by mail, detach
and mail the completed order form
with credit card information, money
order or check in US currency (made
payable to Thomson multimedia Inc.)
to the following address:
Thomson Inc.
Mail Order Department
PO Box 8419
Ronks, PA 17573-8419
®
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TM
Charge your order on your VISA,
MasterCard, or Discover Card by
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
from your VISA card
IMPORTANT: Copy complete account number
from your MasterCard
My card expires:
My card
expires:
Copy Number
above your
name on
MasterCard
AUTHORIZED SIGNATURE
(Credit card order will not be processed without signature)
Name:
Street:
Apt:
City:
State:
Zip:
Print or type your name and
address clearly.
Please make sure that both sides of this form
have been filled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change.
A complete and correct
order will save you days
of waiting.
IMPORTANT: Copy complete account number
from your Discover Card
My card expires:
!
Daytime phone number:
AC power adapter 5-2495 $20.85
Headset 5-2425 $19.95
AC power adapter
Description
Price
Part No.
Qty
Total
All accessories are subject to availability.
Where applicable, we will ship a superseding model.
Prices are subject to change without notice.
Total Merchandise....................................................................
Sales Tax......................................................................................
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.
Shipping and Handling...........................................................
Total Amount Enclosed...........................................................
Use VISA, MasterCard, or Discover Card preferably.
Money order or check must be in U.S. currency only.
No COD or CASH.
$_______
$_______
$_______
$_______
Headset
5.00
Detach Here ✂
Accessory Order Form
5-2495 5-2425
Other Information