Charge your order on your VISA,
MasterCard, or Discover Cardby
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
from your VISA card
VISA"
N-]-T-111111[IIFT-[-1
My card expires: [--I-7
IMPORTANT: Copy complete account number
from your MastetCard
r-r-r- r-rT-N
Copy Number
above your
[lam_ on
MasterCard
MYc_dl I II 1 I
exptres:
IMPORTANT: Copy complete account number
from your Discover Card
r-z-r-rqr-T-r-rqN-r-rq
My cardexpires: ['-T-]
AUTHORIZED SIGNATURE
(Credit card order will not be processed without signature)
Print or type year name and A complete and correct
address clearly, order will save you days
of waiting.
Nanlg:
S_'eet:
Apt:
City:
State: Zip:
Daytime Phone Number:
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, ti
• Prices are subject to change
A
Placing An Order
To place your order by phone, have your Visa, MasterCsrd
or Discover Card ready and call the toll-free number listed
below. Use this number only to place an order for
accessory items listed on this order form.
1.800-338-0372
To place your order by mail, detach and mail the
completed order form with credit card information, money
order or check in US currency (made payable to Thomson
Consumer Electronics, Inc.) to the following address:
Video Accessories
PO Box 8419
Ronks, PA 17573
20
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