Rca Accessories Order Form - RCA D770 User Manual

DBS_D770manual.qdx 3/30/01
How To Order
To order, see your local RCA retailer. Or:
ORDER BY PHONE:
Have your Visa, MasterCard or Discover Card ready
and call the toll-free number listed below.
This number should only be used to place orders for
the above listed Accessories.
ORDER BY MAIL:
Complete this order from and mail to:
Include this completed form with your order.
Description
Wireless Phone Jack
Amplified TV Antenna
Sales Tax
Shipping and Handling
Total Amount Due
Name: ____________________________________________
Address: __________________________________________
City/State: ________________________________________
Zip: ______________________________________________
Daytime Phone Number: ____________________________
Check Enclosed
Visa
Card Number:
Exp:________________
Signature: ________________________________________
Shipping and handling is charged for all orders.
Please allow 4-6 weeks for mail orders.
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1-800-338-0376
RCA Accessories
PO Box 8419
Ronks, PA 17573
Model # Price
D916 $79.95
ANT200 $49.95
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.
Money Order Enclosed
MasterCard
– –
Qty. Total
$5.00
Discover
–