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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
VISA"
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My card expires: _
IMPORTANT: Copy complete account number
fronl yotn MasterCard
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Copy Number
above your
name on
MasterCard
My.card F--['_ [----_
expires:
IMPORTANT: Copy complete account number
from your Discover Card
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My card expires: _ [-_
AUTHORIZED SIGNATURE
(Credit card order Will not be processed without signature)
Print or type your name and A complete and correct
address clearly, order will save you days
of waiting.
Name:
Street:
City:
State:
Daytime phone number:
Apt:
Zip:
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.
Splitter VH47
2-u,ay Signal Splitter
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ANT200
Amplified Antenna
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Remote Control
This is the remoW control that
came packed u,itb.pour TE
Replacemellts or spares ca_ be
ordered as needed¸
CRK76TE1
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 nunrber only to place an order for accessory
items hsted on thl.s order fort'n,
1-800-338-0376
To place your order by mail, detach and mail the
completed order lorm with credit card information,
money order or check in US currency (made payable to
Thomson Consumer Electronics, Inc.) to the following
address:
I
Video Accessories
POBox 8419
Ronks, PA 17573
58 Chapter 5