Accessory Order Form - GE 2-9795 User Manual

CUSTOMER: CUT ALONG DOTTED LINE. _:_
ACCESSORY ORDER
FORM
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Re#acmnenl handset beuent
8T-12 $14J5
AC power sepply 5-2396 $9,95
F_ credit cardpurchases
Your complete charge card number, its ex#rafion date and your
signature are necessary to process all charge card orders.
Copy your complete account number from your VISA card.
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My card expires:
Copy your complete account number [Tom your MasterCard.
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Copy the number above your
name on the MattergaM
My card expires:
Authorized Signature
Please make surethat this form has been filledout completely.
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Total Merchandise ...........
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Sales
Tax .................................................................. $__
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only. N oC00_ Cas_
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Shipping, Handling, and Insurance ............. $__ $5.00
Total Amount Enclosed.. $.
Mall order form and money order or check (in U.S. currency)
made payable to Thomson Consumer Electronics, Inc. to:
CImsumer ElectrNics
Mail OlderOeparWaut
P.O.Be_8419
Rmk_ PA 11157341419
"i_]s is your return label. Please print clearly.
To:
Name
Address Apt.
City State Z