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Charge
your order on your VISA
or MasterCard
by
filling
in below
USE
YOUR
CREDIT
CARD
IMPORTANT:
Copy complete account number
from your VISA card
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IFI-I--1FI-I-ql--I-
My card expires: [-_
IMPORTANT:
Copy complete account number
from your MasterCard
I I I I II-Tq-l-II
I I I II I I I I
Copy Numb0r I I Ill
My card l---I---l[--Y-]
above your
expires:
name on
MasterCard
AUTHORIZED
SIGNATURE
Prices arc subject to change without notice.
Print or type your name and
address clearly. This will be your
mailing label.
Name:
Street:
City:
State:
A complete and correct order will
save you days of waiting.
Apt:
Zip:
Please make sure that both sides of this form have
been filled out completely.
• Allow 8 weeks for delivery.
• All accessories are subject to availability.
• Where applicable, we will ship a superseding model.
m-"
X
74
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