Accessory Order Form - RCA 25403 User Manual

Accessory Order Form

To 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 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 form
with credit card information, money
order or check in US currency (made
payable to Thomson multimedia Inc.)
to the following address:
Thomson Inc.
Mail Order Department
PO Box 8419
Ronks, PA 17573-8419
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
My card expires:
s r r
IMPORTANT: Copy complete account number TM
from your MasterCard
Copy Number
My card
above your
expires:
name on
MasterCard
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
address clearly.
order will save you days
of waiting.
Name:
Street:
Apt:
City:
State: Zip:
Daytime phone number:
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.
AC power adapter
5-2495
Description
AC power adapter
Headset
Prices are subject to change without notice.
Total Merchandise....................................................................
Sales Tax......................................................................................
We are required by law to collect the appropriate
sales tax for each individual state, county, and
locality to which the merchandise is being sent.
Shipping and Handling...........................................................
Total Amount Enclosed...........................................................
Use VISA, MasterCard, or Discover Card preferably.
Money order or check must be in U.S. currency only.
No COD or CASH.
All accessories are subject to availability.
Where applicable, we will ship a superseding model.
Other Information
Headset
5-2425
Part No. Price Qty Total
5-2495 $20.85
5-2425 $19.95
$_______
$_______
5.00
$_______
$_______
45