Dear Brother Customer:
MODEL
1034D
BROTHERSERGER
ACCESSORY ORDER FORM
This order form
is
provided for your convenience should your retailer not stock the item(s) needed
or
if
you prefer to
order by mail, To order
by
mail, send this completed form along with proper payment to the address below.
QTY
PRODUCT
DESCRIPTION
SUGGESTED
CODE
RETAIL PRICE
X75917001
NEEDLE SET
$4.
50
(SCHMETZ #80/2pcs., #90/2pcs.)
X76590002 BLIND STITCH FOOT
$29.95
SA212
ELASTIC TAPING FOOT
$29.95
XB0537001
PEARLS AND SEQUINS FOOT
$39.95
SA210
PIPING FOOT
$29.95
XB0563001 UPPER KNIFE
$14.
00
X77683001
LOWER KNIFE
$3
.
00
X53061050
LIGHT BULB
$2.
00
X77767001 TRIM TRAP
$8.
00
USER'S
MANUAL
(PLEASE SPECIFY MODEL
$5.00
NO. IN
LEFT
COLUMN)
SA213
GATHERING FOOT
$39.95
• Prices subject to change without notice
Subtotal
• Prices quoted in U.S. dollars Sales Tax*
Ship/Hand
To Complete this Order Form:
Total Due
I In i h n i
wi
iv
i
d cate t e qua t ty you sh
to
rece e
of
each tern .
2. Complete the Total Amount columm for each item (Qty x Price).
3. Total the columns. Enter the Subtotal.
4. Add the appropriate sales tax and shipping/handling charges. Enter the Total Due.
5. Clearly print your name and address on the Shipping Label below.
6. Send this
order
form, along with proper payment, to the address below
OR
Credit Card holders call toll free, anytime 1-888-879-3232,
or
fax this completed order form
to
1-800-94 7-1445
For more information on sergers please visit
us
at www.brother.com.
For fast ordering visit the Home Sewing pages at www.brothermall.com.
Shipping Label
Name:-----------------
Method or Payment (please check one)
TOTAL
AMOUNT
$5.00
Address:
________________
_
( )VISA ( )MasterCard ( )Check or Money Order enclosed
( )Amex ( )Discover
City, State, Zip:
______________
_
Daytime Phone:
______________
_
Send Accessory Order Form
to:
Brother International Corporation
P.O. Box 341332
Bartlett, TN 38184-1332
Account Number
_____________
_
Expiration
Date
______________
_
Signature
_______________
_
*AZ
, CA, CO, CT, FL,
GA,
IL,
MD,
NJ,
NV, NY,
LA,
MA,
MI,
MN
,
MO,
NC,
OH, PA,
SC
, TN,
TX,
VA,
and
WA
residents please
add
applicable sales tax
X81346001
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