ACCESSORY ORDER FORM
For credit card purchases
Your complete charge card number, itsexpiration date and
signature
necessary to process all charge card orders.
Copy your complete account number from your VISA card.
My card expires:
Copy your complete account number from your
MasterCard.
Copy the number above your
name on the MasterCard
My card expires:
Authorized Signature
Prices are subject to change without notice.
Total Merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
We are required by
to
collect
appropriate
tax for
in-
dividual state, county,
to which the
Is being
sent.
Shipping, Handling,
. . . . . . . . . . . . . . . . . . $
5.00
Total Amount Enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
preferably.Moneyorder
must be in U.S. currency only. No COD or CASH.
All accessories
subject to
explicable,
will chip
s superseding model.
Prices are subject to change without notice. Mail order form and money order
or check (in U.S. currency) made payable to Thomson Consumer Electronics,
Inc. to:
Consumer Electronics
Mail Order Department
B
OX
8419
PA 17573-8419
This is your return label. Please print clearly.
To:
Name
Address
A p t . _
City
State
ZIP
Please make sure that this form has been filled out completely.
CUSTOMER: CUT ALONG DOTTED LINE.
