RCA F32668YX53 User Manual page 62

Cha_e your ordgr on your VISA,
Masig_ or Discovor Card by
filling in below
US_: YOUR CI_:DIT CARD
I_ORTM'4T: C_y complete a¢ccamt number
flora yovx VISA card
VISA"
My o pi ,:i--l--Ii--l--I
I_ORTM'4T: C_y complete acccamt nt_mbcr
from yovx MasterCard
VTTT-]IIIIIIIIIIVTTT-]
Copy N_mbcr
gb6_*¢ y_E"
ll_VJ3C 0_]
MastcrCard
My.card _
CX_33YC$:
I?_fPORTANT: Copy ¢omplctc a¢cotmt mlrabcr
from yoar D_,cr Ca_
I-YT-l-llllllllllll-l-Y
AL_HO RIZED SIGNATURE
(Credit card order will not be processed without signature)
Print or .type your rtarrtc _nd / A cornpl_ _nd eo_ ordar
address clearly. _ will save you days ofwaifir_.
Name:
Street:
City:
State:
Daytime Phone:
Apt:
Zip:
Please make sure that both sides of this form
have been filled oat completely.
• Allow 4 weeks for deliver2,'.
• All accesso_qes are subject to availability.
• P_qees are subject to change
Placing an Order
To place your order by phone, have your Visa,
MasterCard or Discover Card ready and call the toll-
free number listed below between 8AM and 8PM
(EST) Monday through Friday or between 9AM and
5PM (EST) Saturday.
Use this number only to place an order for accessory
items listed on this order form.
11800-338-0375
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 Box8419
Ronks, PA 17573
6O