RCA F26317YX51AA5 User Manual page 60

Charge your order on your VISA,
Master( ard, or Discover Card by
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
fi-om your VISA card
VISA
M, cal'd o×pire : i--1--1 i--'i'--I
IMPORTANT: (opy complete accoullt number
f}-om your Master( ard
CopyNumber
above your
name on
MasterCard
My.card ['-"V-] ["-'V-]
expires:
IMPORTANT: (opy COlnplete account number
t?om your Discover Card
v-v-v-vqEIZE V-F-V V-r-V-Vq
My card expires: [--T"]
AUTHORIZED SIGNATURE
Credit card order will not be processed without signature)
Print o1"type your name and
address clearly.
i-
Name:.
A complete and correct
order will save you days
of waiting.
Street:
Apt:
City:
State: Zip:
Daytime phone number:
Please make sure that both sides of this form
have been filled om completely.
• Allow 4 weeks for delivery,
• All accessories are subject to availability,
• Prices are subject to change,
2-way Signal 5_litter
_qd/)s folt CO_lllt_ct a SL'Co?_d 7_:
or VCR
Splitter VH47
Amplified Amenna
Allou_.you 1o qttic_,@ su ltcb
./)'_;m the anten,a s_t_al to the
cable or salellit¢" s_tll zv_tbom
ANT200
Remote Control
7bL_ is the r_,mole cotm_d that
came pacl;,,,d u fth your TK
RUdacemenls or _spares can l_
Ot'c]L'rt4d gLs t_t_t_t[_d
CRK76TEI
to
t_
To Order
To place your order by phone, have your Visa,
MasterCard or Discover Card ready and call the toll-ficee
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 lk)rm with credit card intkmnation,
money order or check in ES currency (nmde payable to
Thomson Consumer Electronics, Inc.) to the t:olIowing
address:
Video Accessories
PO Box 8419
Ronk_, PA 17573