Brother 1034d User Manual page 15

Dear Brother Customer:
MODEL 1034D
BROTHERSERGER
ACCESSORY ORDER FORM
This order form is provided for your convenience should your retailer not stock the item(s) needed or if you prefer to
order by mail, To order by mail , send this completed form along with proper payment to the address below.
QTY
PRODUCT
DESCRIPTION
SUGGESTED
CODE RETAIL PRICE
X75917001
NEEDLE SET
$4 .50
(SCHMETZ #80/2pcs., #90/2pcs.)
X76590002 BLIND STITCH FOOT $29.95
SA212
ELASTIC TAPING FOOT
$29.95
XB0537001 PEARLS AND SEQUINS FOOT $39.95
SA210 PIPING FOOT
$29 .95
XB0563001 UPPER KNIFE
$14 .00
X77683001
LOWER KNIFE
$3 .00
X53061050 LIGHT BULB
$2 .00
X77767001 TRIM TRAP
$8 .00
USER'S MANUAL
(PLEASE SPECIFY MODEL
$5.00
NO . IN LEFT COLUMN)
SA213
GATHERING FOOT
$39.95
• Prices subject to change without notice
Subtotal
• Prices quoted in U .S. dollars Sales Tax*
Ship/Hand
To Complete this Order Form:
Total Due
I In i h n i wi iv i
d cate t e qua t ty you sh to rece e of each tern .
2. Complete the Total Amount columm for each item (Qty x Price) .
3. Total the columns. Enter the Subtotal.
4. Add the appropriate sales tax and shipping/handling charges. Enter the Total Due.
5. Clearly print your name and address on the Shipping Label below.
6. Send this order form, along with proper payment, to the address below
OR
Credit Card holders call toll free, anytime 1-888-879-3232,
or fax this completed order form to 1-800-94 7-1445
For more information on sergers please visit us at www .brother.com .
For fast ordering visit the Home Sewing pages at www.brothermall.com .
Shipping Label
N a m e : - - - - - - - - - - - - - - - - -
Method or Payment (please check one)
TOTAL
AMOUNT
$5.00
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
( )VISA ( )MasterCard ( )Check or Money Order enclosed
( )Amex ( )Discover
City, State, Zip: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Daytime Phone: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Send Accessory Order Form to:
Brother International Corporation
P.O. Box 341332
Bartlett, TN 38184-1332
Account Number _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expiration Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
*AZ , CA, CO, CT, FL, GA, IL, MD, NJ, NV, NY, LA, MA, MI,
MN , MO, NC, OH, PA, SC, TN, TX, VA, and WA residents please
add applicable sales
tax
X81346001