Charge your order on your VISA
or MasterCard by
filling in below
USE YOUR CREDIT CARD
IMPORTANT:
Copy complete account number
from your VISA card
rl
v/sA’
curlunmm
My card expires: m I[
IMPORTANT:
Copy complete account number
from your MasteKard
Copy Number
above your
mn z;$rnrn
name on
MasterCard
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and
,:,
‘s A complete and correct order will
address clearly. This will be your ,> save you days of waiting.
mailing label.
‘3, r
* 1
r---------------------------
1 Name:
I
I
I
1 Street:
I
I
Apt:
I
I
I
, City:
I
i State:
Zip:
I
I
-_______-------------------
:
Please make sure that
both sides of this form have
been filled out
completely.
l
Allow 8 weeks for delivery.
l
All accessories are subject to availability.
l
Where applicable, we will ship a superseding model.
6