DESCRIPTION PART NO. PRICE QTY. TOTAL
2nd Room Kit D940EXP 99.95
Chimney Mount D915 22.95
Amplified Antenna ANT200 49.95
Wireless Phone Jack System D916 79.95
In-Line Amplifier D903 24.95
Remote Control Signal Sender D940 59.95
Remote Control Signal Sender
Extension Unit D935 39.95
TOTAL MERCHANDISE
SALES TAX
We are required by law to collect the appropriate sales tax for each individual
state, country, and locality to which the merchandise is being sent.
SHIPPING AND HANDLING 5.00
TOTAL AMOUNT ENCLOSED
Accessory Order Form
To order accessories, contact your local Dealer. If a dealer is not nearby, you can also follow the
directions below to order by telephone or by direct mail.
To place your order by phone, have your VISA, MasterCard or Discover Card ready and call the toll-
free number listed below between 8:00 am and 10:00 pm (EST), Monday thru Friday, or 9:00 am
and 5:00 pm (EST), Saturday. USE THIS number only to place an order for the accessories listed on
this order form.
1-800-338-0376
To place an order by mail, detach and mail the completed order form with credit card information,
check or money order (in U.S currency), made payable to Thomson Consumer Electronics, Inc., to
the following address.
Video Accessories
P.O. Box 8419
Ronks, PA 17573
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Please Allow 4 - 6 Weeks For Delivery
Use VISA, MasterCard or Discover Card. Money Order or check must be in U.S currency only. No
COD or cash.
Name: ___________________________________________________________________________________
Address: _________________________________________________________________________________
City: ___________________________________ Zip Code: _____________________________________
❑ Visa ❑ MasterCard ❑ Discover
Credit Card Number: _______________________________ Expiration Date:____________________
Signature: (Required for Credit Card Orders)_______________________________________________
✄
Detach Here