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Additional Information
Replacement Battery Order Form
Part Number (Description) QTY X Price = Subtotal
80-5074-01-00
(SBA Series Battery, 3.6V 300mAh Ni-Cd) ___________ x $14.95 = _____________
For orders up to $80, add $6.95 Shipping __________________
For orders over $80, add $9.95 Shipping __________________
+ Sales Tax (if applicable) __________________
TOTAL __________________
SHIPPING INFORMATION
NAME __________________________________________________________________
ADDRESS ______________________________________________________________
CITY ___________________ STATE _________________ ZIP ____________________
DAYTIME PHONE ( ) ______________________________________________
DELIVERY IS LIMITED TO THE CONTINENTAL US, ALASKA, HAWAII, PUERTO RICO,
AND THE US VIRGIN ISLANDS. NO DELIVERY TO PO BOXES OR APO ADDRESSES.
METHOD OF PAYMENT: DO NOT SEND CASH
CHECK
MONEY ORDER
VISA
MASTERCARD
AMERICAN EXPRESS
DISCOVER
Checks and Money Orders should be made payable to VTech Communications, Inc.
BILLING INFORMATION
CREDIT CARD # _________________________________________________________
EXPIRATION DATE ____________________ SECURITY CODE* ____________________
CARDHOLDER’S SIGNATURE _______________________________________________
BILLING ADDRESS IF PAYING BY CREDIT CARD (as it appears on your credit card statement)
NAME __________________________________________________________________
ADDRESS ________________________________________________________________
CITY ___________________ STATE _________________ ZIP ____________________
*A three or four digit number found either on the front of the credit card or on the back of the
credit card in the Authorized Signature section that is separate from the credit card number.
Place order form and payment in envelope and send to:
You may also order online at
www.vtechphones.com
or by calling 1-800-595-9511
VTech Advanced American Telephones
PO Box 4014
Beaverton OR 97076
