RCA CC6262 User Manual page 72

Charge your order on )'our VISA,MasterCard,
or Discover Card by filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number from your VISA card
VISA"
I-I-I-_ I-f-I-II-T_ I-T-I-I Expir_tiondatd--I--1 1--I--I
IMPORTANT: Copy complete account number from your MasterCard
_ r-r-r-_ I--l-r-N r--i-i-N
copy N°mbe, above yoo,.amo n° M a_te_:ard r-T-r-r-q Expi,o,_o. _ate: l-l--1 I--I--1
IMPORTANT: Copy complete account number from your Discover Card
_-T-r-GI-r-r-_ l-r--r-_ r--r-y-_
Expiration date: _
AUTHORIZED SIGNATURE
Prices are subject to change withoutnotice.
Print or type your name and A complete and correct order will
address clearly, save you daysof waiting.
Name:
Street:
City:
State:
Daytime Phone No.:
Apt:
Zip:
Please make sure that both sides of this form have been filled out completely.
¥ Allow 4 weeks for delivery.
g All accessories are subject to availability.
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