90
Reference
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TM
Charge your order on your VISA,
MasterCard, or Discover Card by
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
from your VISA card
IMPORTANT: Copy complete account number
from your MasterCard
My card expires:
My card
expires:
Copy Number
above your
name on
MasterCard
AUTHORIZED SIGNATURE
(Credit card order will not be processed without signature)
Prices are subject to change without notice.
Name:
Street:
Apt:
City:
State:
Zip:
Print or type your name and
address clearly.
Please make sure that both sides of this form
have been filled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change
A complete and correct
order will save you days
of waiting.
IMPORTANT: Copy complete account number
from your Discover Card
My card expires:
United States and Canada Orders
To place your order by phone, have your Visa,
MasterCard or Discover Card ready and call the toll-
free number listed below between 8 AM and 10 PM
(EST) Monday through Friday or between 9 AM and
5 PM (EST) Saturday.
Use this number only to place on order for
accessory items listed on this order form.
1-800-338-0376
To place your order by mail, detach and mail the
completed order form with credit card information,
money order or check in US currency (made
payable to Thomson Consumer Electronics, Inc.) to
the following address:
Video Accessories
PO Box 8419
Ronks, PA 17573
