Ge 2-9975 Manuel d'utilisateur télécharger pdf (Page 29)

CUSTOMER: CUT ALONG DOTTED LINE.

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Accessory Order Form

DESCRIPTION CATALOG NUMBER

PRICE*

QUANTITY TOTAL

AC power supply adapter 5-2380

$9.95

tVJ

For credit card purchases

Your complete charge 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.

Copy the number above your

name on the MasterCard

My card expires:

*Prices are subject to change without notica.

Total Merchandise

...........................................

_____________

We are required by lew to collect the apgropriate sales tax for each individual state, county,

and locality to which the merchandise is being sent

Sales Tax.......................................................... $_____________

Use VISA or MasterCard preferably .Money order or check must be in U.S. currency only. No

COD or Cash.

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

model. J5QQ

Shipping, Handling, and Insurance

...............

_____________

Total 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, PA 17573-8419

This is your return label. Please print clearly.To:

Name__________________________________________________

Address

_________________________________

Apt.

___________

City

______________________

State

_______

ZIP

_______________

Authorized Signature

Please make sure that this form has been filled out completely.

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Ge 2-9975 Manuel d'utilisateur Page 29

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