Ge 21015 Manuel d'utilisateur Page 53

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53
A
CCESSORY
O
RDER
F
ORM
CUSTOMER: CUT ALONG DOTTED LINE.
*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. Duties will apply for
shipments to Canada.
Use VISA or Master Card or Discover preferably. Money order or check must be in U.S.
currency only. No COD or Cash. All accessories are subject to availability. Where
applicable, we will ship a superseding model.
Shipping/Handling....................................... $_______________
Total Amount Enclosed.................................$_______________
Mail order form and money order or check (in U.S. currency)
made payable to Thomson to:
Thomson
Mail Order Department
P. O . Box 8419
Ronks, PA 17573-8419
Name_______________________________________________________
Address_____________________________________ Apt.____________
City ________________________State________ ZIP_________________
Daytime Phone Number ( )_______________________________
$5.00
____________________________________________________________________
Authorized Signature
My card expires:
Copy the number above your
name on the Master Card
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
Master Card or Discover.
To order, call 1-800-338-0376 (for accessories only) or complete this order form.
DESCRIPTION
AC power adapter
MODEL NUMBER
TOTAL
PRICE*
$36.35
Replacement Handset Battery
Belt Clip
Headset
5-2596
5-2607
$18.35
$8.75
$11.90
5-2548
5-2425
QTY.
Black
White
5-2621
Please make sure that this form has been filled out completely.
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