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Accessory order form, Headset – RCA 25202 User Manual

Page 37

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37

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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)

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:

Daytime phone number:

AC power converter

5-2495

$20.85

Headset

5-2425

$19.95

AC power converter

Description

Price

Part No.

Qty Total

All accessories are subject to availability.
Where applicable, we will ship a superseding model.

Prices are subject to change without notice.

Total Merchandise.................................................................

Sales Tax...................................................................................

We are required by law to collect the appropriate
sales tax for each individual state, county, and
locality to which the merchandise is being sent.

Shipping and Handling........................................................

Total Amount Enclosed........................................................

Use VISA, MasterCard, or Discover Card preferably.

Money order or check must be in U.S. currency only.

No COD or CASH.

$_______

$_______

$_______

$_______

Headset

5.00

5-2495

5-2425

Accessory Order Form

To Order

To place your order by phone, have your Visa, MasterCard or Discover Card ready and call the toll-
free number listed below.

Use this number only to place an 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 multimedia Inc.) to the following
address:

Thomson Inc.
Mail Order Department
PO Box 8419
Ronks, PA 17573-8419

Detach Her

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