Accessory order form – RCA ProV950HB User Manual

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G. K . A s s o c i a t e s , To k y o

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.

• Allow 4 weeks for delivery.
• All accessories are subject to availability.

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

IMPORTANT: Copy complete account number

from your Discover Card

My card expires:

Accessory Order Form