RCA CC432 User Manual page 54

Accessory Order Form
52
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:
IMPORTANT: Copy complete account number
from your MasterCard
Copy Number
above your
name on
MasterCard
IMPORTANT: Copy complete account number
from your Discover Card
My card expires:
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and
address clearly. This will be
your mailing label.
Name:
Street:
City:
State:
Please make sure that both sides of this form
have been filled out completely.
®
s r r
My card
expires:
A complete and correct
order will save you days
of waiting.
Apt:
Zip:
TM