RCA CC6163 User Manual page 70

Charge your order on your VISA,MasterCard,
or Discover Card by falling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete accotmt numberfrom your VISA card [Z]
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IMPORTANT: Copy complete account numberfrom your MasterCard
I I I I II I I I II I I I II I I I I
Copy Number above your name on MasterCard I I I I I Expiration date: _ [---]'--q
IMPORTANT: Copy complete account numberfromyour Discover Card
I I I I II I I I II I I I II I I I I
Expiration date: V"_"q _-"q
AUTHORIZED SIGNATURE
Prices am subjectto change without notice.
Print or type your name and A complete and correct order will
address clearly, save you days of waiting.
Nanle:
Street:
City:
State:
Daytime Phone No.:
Apt:
Zip:
Please make sure that both sides of this form have been idled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
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