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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 °
Mycardexpires:
V'V-]
V'V-]
IMPORTANT:
Copy complete account number
from your MasterCard
Copy Number
above your
name on
MasterCard
My.card
_
expires:
IMPORTANT:
Copy complete account number
from your Discover Card
Mycardexpires:
mv-]
mv-]
AUTHORIZED
SIGNATURE
(Credit
card order will not be processed
without
signature)
Prices are subject to change without notice.
Print or type your name and
A complete and correct
address clearly. This will be
order will save you days
zour mailing label,
of waiting.
Name:
Street:
City:
State:
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
United
States and Canada
Orders
To place your order by phone, have your Visa, MasterCard
or Discover Card ready and call the toll-free number listed
below between 8AM and 8PM (ES]) Monday through
Friday or between 9AM and 5PM (EST)Saturday.
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
76
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