ACCESSORY ORDER FORM
This order form is provided for your convenience should your retailer not stock the item(s)
needed or if you prefer to order by telephone. To order by phone, please call Brother Interna-
tional at 1-877-BROTHER (1-877-276-8437) and have your Visa or MasterCard available.
Prices subject to change without notice.
Before calling:
1. Review the reverse side of this form and select the desired items.
2. Complete the order form, indicating the quantity of each item (for your records).
3. Enter the total on the “Supply/Accessory Total” line below (for your records).
4. Add appropriate sales tax and shipping/handling costs (for your records).
5. Have your Visa or MasterCard number and expiration date available.
G.S.T. # R100663764
P.S.T. # 100100117TQ0001
* Prices subject to change without notice.
Stock No.
Description
Price
Quantity
Total
TOTAL
Supply/Accessory Total
$
All Residents of Canada: Please add
applicable sales taxes (G.S.T. & P.S.T.).
G.S.T $
P.S.T. $
Shipping/Handling
$5.00
TOTAL DUE
$
✂
