IMPORTANT:
To help us expedite your order, please print all of the
information legibly, and mail this form and your payment according to the
instructions below.
1. Name : ______________________________________________________
Address : _____________________________________________________
City : ___________________ State : ________ Zip Code : ______________
2. Telephone Number : ( ________ ) ________________________________
3. Enter the total number of transmitters required here : ____________________
4. The cost per transmitter is $ 65.00.
5. Enter the total amount enclosed here : _______________________________
( New York state residents must include the appropriate sales tax. )
6. Method of payment; check one of the boxes below.
q
Mastercard
q
Visa
q
Check or money order * (do not send cash)
* Make checks payable to Audiovox Corporation
7. Credit Card Number : ___________________________________________
8. Credit Card Expiration Date : __________________________
9. Mail this form and your check, to :
ORDER FORM FOR 2 BUTTON TRANSMITTER
MODEL NO. APS 95 BT2
Audiovox Corporation
150 Marcus Blvd.
Hauppauge, N.Y. 11788
Attn: TRANSMITTER DEPARTMENT
Credit card purchasers can order additional or replacement
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and
follow the instructions from the operator interface.
(
128-4624C