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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"
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IIIII
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IMPORTANT:
Copy complete account number
from your MasterCard
IIII
IN-TNIIIIIVT-I-
Copy Number
above your
name
on
MasterCard
I--I---I
N--I
expn'es:
IMPORTANT: Copy complete account number
from your Discover Card
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AUTHORIZED
SIGNATURE
(Credit card order will not be processed
without
signature)
Prices are subject to change without notice.
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:
City:
State:
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
United
States
and Canada
Orders
To placeyour order by phone, have your Visa, MasterCard
or DiscoverCard 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 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
44
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