Accessory Order Form - RCA 25202 User Manual

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 number only to place an 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 multimedia Inc.) to the following
address:
Thomson Inc.
Mail Order Department
PO Box 8419
Ronks, PA 17573-8419
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
My card expires:
IMPORTANT: Copy complete account number
from your MasterCard
Copy Number
My card
above your
expires:
name on
MasterCard
IMPORTANT: Copy complete account number
from your Discover Card
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:
Apt:
City:
State: Zip:
Daytime phone number:
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.
®
Description
AC power converter
s r r
TM Headset
Prices are subject to change without notice.
Total Merchandise.................................................................
Sales Tax...................................................................................
We are required by law to collect the appropriate
sales tax for each individual state, county, and
locality to which the merchandise is being sent.
Shipping and Handling........................................................
Total Amount Enclosed........................................................
Use VISA, MasterCard, or Discover Card preferably.
Money order or check must be in U.S. currency only.
No COD or CASH.
All accessories are subject to availability.
Where applicable, we will ship a superseding model.

Accessory Order Form

AC power converter
5-2495
Part No.
5-2495
5-2425
Headset
5-2425
Price Qty Total
$20.85
$19.95
$_______
$_______
5.00
$_______
$_______
37