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ORDER FORM FOR 620TX
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.
Note: Transmitter model number found on back of case.
1) Transmitter Model Number_____________________
2) Name: _______________________________________
3) Address: ______________________________________
4) City: ________________ State: _____ Zip Code: ________
5) Telephone Number: (_____) _______________
6) Total Number Of Transmitters Required:
Cost Per Transmitter is:
Multiply By Number Of Transmitters
7) Enter Total Amount Enclosed _________________
(New York State Residents must include the appropriate sales tax)
8) Method of Payment:
Mastercard
Visa
Credit Card Number: _________________________________
Credit Card Expiration Date: ____ / _____ / _____
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.
9) Mail this form along with your payment to:
Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, N.Y., 11788
Audiovox Electronic Corporation, 150 Marcus Blvd., Hauppauge, NY 11788
$65.00
X ______
Check or Money Order (do not send cash)
Make Checks Payable To Audiovox Corporation
Attn.: TRANSMITTER DEPARTMENT
Order 620TXP-300
If Lock & Unlock Buttons
Are Blue & 620TXP-304 If
Lock Unlock Buttons Are Red
128-7828A
128-7828A
4 of 4
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