Audiovox Prestige APS99BT3 Owner's Manual page 6

ORDER FORM FOR APS99BT3 TRANSMITTER
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IMPORTANT: To help us expedite your order, please print all of the
information legibly, and mail this form and your payment according to the
instructions below. Please indicate which button pad is used with your
transmitter as indicated above.
1. Name : ______________________________________________________
Address : _____________________________________________________
City : ___________________ State : ________ Zip Code : ______________
2. Telephone Number : (__________) ________________________________
3. Enter the total number of transmitters required here : ____________________
4. The cost per transmitter is $ 65.00.
5. Enter the total amount enclosed here : _______________________________
( New York state residents must include the appropriate sales tax. )
6. Method of payment; check one of the boxes below.
q q
Mastercard Visa
* Make checks payable to Audiovox Corporation
7. Credit Card Number : ___________________________________________
8. Credit Card Expiration Date : __________________________
(
Credit card purchasers can order additional or replacement
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and
follow the instructions from the operator interface.
9. Mail this form, and your check, to ;
Audiovox Corporation 150 Marcus Blvd. Hauppauge, N.Y. 11788
Attn.: TRANSMITTER DEPARTMENT
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q
Check or money order * (do not send cash)
128-5749A