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Replacement Battery Order Form
Part Number (Description) QTY X Price = Subtotal
80-5074-01-00
(SBA Series Battery, 3.6V 400mAh Ni-Cd) ___________ x $14.95 = _____________
For orders up to $80, add $6.95 Shipping __________________
For orders over $80, add $9.95 Shipping __________________
+ Sales Tax (if applicable) __________________
TOTAL __________________
SHIPPING INFORMATION
NAME __________________________________________________________________
ADDRESS ______________________________________________________________
CITY ___________________ STATE _________________ ZIP ____________________
DAY TIME PHONE ( ) ______________________________________________
DELIVERY IS LIMITED TO THE CONTINENTIAL US, ALASKA, HAWAII, PUERTO RICO,
AND THE US VIRGIN ISLANDS. NO DELIVERY TO PO BOXES OR APO ADDRESSES.
METHOD OF PAYMENT: DO NOT SEND CASH
CHECK MONEY ORDER VISA
MASTERCARD AMERICAN EXPRESS DISCOVER
Checks and Money Orders should be made payable to VTech Communications, Inc.
BILLING INFORMATION
CREDIT CARD # _________________________________________________________
EXPIRATION DATE ____________________ SECURITY CODE* ____________________
CARDHOLDER’S SIGNATURE _______________________________________________
BILLING ADDRESS IF PAYING BY CREDIT CARD (as it appears on your credit card statement)
NAME __________________________________________________________________
ADDRESS ________________________________________________________________
CITY ___________________ STATE _________________ ZIP ____________________
*The last three or four digits on the signature strip (back side) of your credit card.
Place order form and payment in envelope and send to:
VTech Communications, Inc.
PO Box 178
Valley Park, MO 63088-0178
You may also order online at
www.vtechphones.com
or by calling 1-800-595-9511