RCA ProV712 User Manual page 30

Accessory Order Form
24
Charge your order on your VISA,
MasterCard, or Discover Card by
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
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.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
filling in below
My card
expires:
My card expires:
A complete and correct
order will save you days
of waiting.
Apt:
Zip:
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