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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
vT-v-vq VT--
VY-Vq
My card expires:
_
IMPORTANT:
Copy complete account number
from your MasterCard
v-vl--r-qr-r-r-
v-v-v- r--v-v
Copy Number
above your
name on
MasterCard
My.card
[----_
[--"_
expires:
IMPORTANT:
Copy complete account number
from your Discover
Card
vy-v-r-qVT-V-r-q
V-V-V-r-q
My card expires: [---I'--1
[---I-7
AUTHORIZED
SIGNATURE
(Credit
card order will not be processed
without
si,gnature)
Print or type your name and
_
A complete and correct
address clearly,
order will save you days
of waiting.
Name:
Street:
Apt:
City:
State:
Zip:
Phone Number:
L-__
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
6O
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.
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
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