35
Please mak
e sur
e that this f
o
rm
has been filled out complet
ely
.
DESCRIPTION
AC power supply adapter (white)
A
CCESSOR
Y
O
RDER
F
ORM
CA
TALOG NUMBER
TOT
AL
QUANTITY
PRICE*
5-2420
$9.95
Replacement battery
CUS
T
OMER:
CUT
AL
ONG DO
T
TED LINE.
✂
5-2358
$14.95
Shipping, Handling, and Insurance............. $_______________
T
otal Amount Enclosed.................................$_______________
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
P.O. Box 8419
Ronks, P
A
17573-8419
This is your r
eturn label. Please print clearly
.
To
:
Name________________________________________________________
Address_____________________________________ Apt.____________
City ________________________State________ ZIP_________________
W
e are required by law to collect the appropriate sales tax for
each individual state, county
, and locality to which the
merchandise is being sent.
*Prices are subject to change without notice.
T
otal Mer
chandise.........................................$_______________
Sales T
ax........................................................$_______________
Use VISA or MasterCard preferably
. Money order or check must be in U.S. currency
only
. No COD or Cash.
All accessories are subject to availability
. Where applicable, we will ship a
superseding model.
$5.00
____________________________________________________________________
Authorized Signature
My card expires:
Copy the number above your
name on the
MasterCard
For credit card purchases
Y
our complete char
ge card number
, its expiration date and your
signature are 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.
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