Order Form For 103Bp - Audiovox Prestige 103BP Programming Manual

ORDER FORM FOR 103BP Transmitter
Attention: Transmitter Ordering Department
Important: To help us expedite your order, please print all of the
information legibly and mail this form and your payment
according to the instructions below.
Indicate the pad number of your transmitter selected from the
pads shown above.
Note: Transmitter model number found on back of case.
1)Name: _______________________________________
2)Address: ______________________________________
3) City: ________________ State: _____ Zip Code: ________
4) Telephone Number: (_____) _______________
5) Total Number Of Transmitters Required:
Cost Per Transmitter is:
Multiply By Number Of Transmitters
6) Enter Total Amount Enclosed _________________
(New York State Residents must include the appropriate sales tax)
7) Method of Payment:
  
Mastercard Visa Check or Money Order (do not send cash)
Make Checks Payable To Audiovox Corporation
Credit
_________________________________
Credit Card Expiration Date: ____ / _____ / _____
8) Mail this form along with your payment to:

Credit card purchasers can order additional or replacement
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and
follow the instructions from the operator interface.
Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, N.Y., 11788
Attn.: TRANSMITTER DEPARTMENT
$70.00
X ______
Card
7
128-8809
Number:
7 of 8