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
1Ill Ir-r-T-1l-r-VlI-T--r-q
My card expires: _
IMPORTANT: Copy complete account number
from your MasterCard
I I I I I Il--l-_l I I I II I I I I
C°pyNumberI I I I I
above your
name on
MasterCard
My card ["-]"--]
expires:
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and A complete and correct order will
address clearly. This will be your save you days of waiting.
mailing label.
Name:
Street:
City:
State:
Apt:
Zip:
Please make sure that both sides of this form have
been filled out completely.
a:
• Allow 8 weeks for delivery.
• All accessories are subject to availability.
• Where applicable, we will ship a superseding model.
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