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ORDER FORM FOR 3 BUTTON TRANSMITTER

MODEL NO. PRO-OE3FT3

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.
Note: Order Pad # 17 if your unit has red colored Lock/Unlock pads.
Order Pad # 18 if your unit has blue colored Lock/Unlock pads.
1. Name :  ____________________________________________________

Address :  _____________________________________________________

City : _____________________  State : _______  Zip Code : ____________

2. Telephone Number : ( _______ ) _________________________________

3. Enter the total number of transmitters required here : ________________

4. List model number of your actual transmitter pad as shown on page
    4 of this manual:

5. The cost per transmitter is $ 65.00.

6. Enter the total amount enclosed here : ____________________________
( New York state residents must include the appropriate sales tax.)

7. 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

8. Credit Card Number : ________________________________________

9. Credit Card Expiration Date : _____________________

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.

10. Mail this form, and your check, to ;

(

128-5759

Audiovox Electronics Corp., 150 Marcus Blvd. Hauppauge, N.Y., 11788

Attn.: TRANSMITTER DEPARTMENT

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