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Chorge
your order on your VISA,
MasterCsrd,
or Discover
Card by
fiill_lg in below
USE
YOUR
CREDIT
CARD
IMPORTANT:
(opy colnplete account number
from your VISA card
VISA
r-T
Myc.rdox il'O :
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IMPORTANT:
(opy colnplete account number
from your Maste_'a_'d
E1::[:]:]7T-VVq7-V-V-Vq
(opy
Number
above
your
name on
MasterCard
My card ['--'[_
[-'-l-'-
]
expires:
IMPORTANT:
Copy complete accouat number
fl.o111 your Discover (ard
[515515I] 7-F-r-M7-F-V-M
My card expires:
[--_
[---l--]
AUTHORIZED
SIGNATURE
(Credit
card order will not be processed
without
signature)
Prices are subject to change without notice.
Print or type your name and
A complete and correct
]dress clearly. This will be
order will save you days
_our mailing label,
of waiting.
Name:
Street:
Placing an Order
To place your order by phone, have your Visa, MasterCard
or Discover Card ready and call the tolMree
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.
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
L.
City:
State:
Apt:
Zip:
Please make sure that both sides of this lbrm
have been filled out completely,
• Allow 4 weeks fbr delivery.
• All accessories are subject to availability.
• Prices are subject to change
i.I
60
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