Accessory order form, Detach here – RCA CC432 User Manual

Page 54

Accessory Order Form

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

Prices are subject to change without notice.

Name:

Street:

Apt:

City:

State:

Zip:

Print or type your name and
address clearly. This will be
your mailing label.

Please make sure that both sides of this form
have been filled out completely.

A complete and correct
order will save you days
of waiting.

IMPORTANT: Copy complete account number

from your Discover Card

My card expires:

Detach Here