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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
N-r-_ N-_ CEzES]ffl--_
My card expires: _
IMPORTANT: Copy complete account number
from your MasterCard
rr--rl-q rT-N-G_-r--_ Fr--r--N
Copy Number
above your
naifle on
MasterCard
MycardI--1--1I--I-G
expires:
IMPORTANT: Copy complete account number
from your Discover Card
CI2EZ3N--T-_ r-_-r-q N--N-G
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.
I
]Name:
]Street:
Apt.
ICity:
IState:
I
IDaytime Telephone No.:
I
Zip:
Please make sure that both sides of this form have been
filled out completely.
• Allow 4-6 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change.
ToPlacean 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 on 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
Consumer Electronics, Inc.) to the following address:
Video Accessories
PO Box 8419
Ronks, PA 17573
104 Chapter 7