Use your credit card, Authorized signature, Accessory order form – RCA CC643 User Manual
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Accessory Order Form
Charge wur order on your VIS A,MasterCard
or Discover Card by filling in below ’
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number from your VISA card
Expiration date:
I I
IMPORTANT: Copy complete account number from your MasterCard
Copy Number above your name on MasterCard
Expiration date; mm
IMPORTANT: Copy complete account number from your Discover Card
Expiration date;
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and address
clearly. This will be your mailing label.
A complete and correct order will
save you days of waiting.
Name:.
Street:.
Apt:
City: _
State;.
Zip:
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.
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