Prestige APS-OE2B - Page 4

ORDER FORM FOR 2 BUTTON TRANSMITTER
MODEL NO. APS-OE2B
Please indicate which transmitter pad is used with your transmitter as shown,
PDOE2B-1 or PDOE2B-2
IMPORTANT : To help us expedite your order, please print all of the information
legibly, and mail this form and your payment according to the instructions below.
1. Name : _____________________________________________________
Address : ____________________________________________________
City : _____________________ State : _______ Zip Code : ____________
2. Telephone Number : ( _______ )_________________________________
3. Enter the total number of transmitters required here : ________________
4. The cost per transmitter is $ 65.00.
5. Enter the total amount enclosed here : ____________________________
( New York state residents must include the appropriate sales tax.)
6. Method of payment; check one of the boxes below.
 Mastercard  Visa  Check or money order * ( do not send cash )
* Make checks payable to Audiovox Corporation
7. Credit Card Number : __________________________________________
8. Credit Card Expiration Date : _____________________
Credit card purchasers can order additional or replacement
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and follow
the instructions from the operator interface.
9. Mail this form, and your check, to ;
Audiovox Corporation, 150 Marcus Blvd., Hauppauge, N.Y., 11788
Attn. : TRANSMITTER DEPARTMENT
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128-5544A
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© 2000 Audiovox Corporation 128-5544A