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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
VISA
I- - 111
IIII
I1- -1
Mycardexpires:
IMPORTANT:
Copy complete account number
from your MasterCard
Copy Number
[""[""["_
above your
name on
MasterCard
My card [---[--7[---[--7
expires:
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 order
address clearly,
will save you days of waiting.
Name:
Street:
City:
State:
Daytime Phone:.
Apt:
Zip:
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.
6O
Placing
an 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
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