RCA CC632 User Manual page 60

Accessory Order Form
Print or type your name and
address clearly. This will be your
mailing label.
58
Charge your order on your VISA
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
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Name:
Street:
City:
State:
Please make sure that both sides of this form have
been filled out completely.
or MasterCard by
filling in below
My card
expires:
A complete and correct order will
save you days of waiting.
Apt:
Zip:
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