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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
VISA"
My cardexpires:
_
IMPORTANT:
Copy complete account number
from your MasterCard
Copy Number
above your
name on
MasterCard
My.card
I--T--]
[--_
_xplres:
IMPORTANT:
Copy complete account number
from your Discover Card
F-r-r-r-qF-r-FT-O F-r--r--n
My card expires:
_
AUTHORIZED
SIGNATURE
(Credit
card order will not be processed
without
signature)
Print or type your name and
]1
A complete and correct
address clearly. This will be
€,
order will save you days
your mailing label,
of waiting.
Name"
Street:
Apt:
United States Orders
To place your order by phone, have your Visa, MasterCard
or Discover Card ready and call the toll-free
number listed
below.
Use this number only to place on order for accessory items
listed on this order form,
1-800-338-0376
TO place your order by mail, detach and mail the completed
order form with credit card information,
money order or
check in US currency (made payable to Thomson Consumer
Electronics, Inc.) to the following address:
Video Accessories
PO Box 8419
Ronks, PA 17573
City:
State:
Daytime Phone:
I.,..
............
Zip:
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.
• Prices
are subject to change
__,,d
6O
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