Manual

Charge your order on your VISX,
MasterCard, or Discover Card by
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
from your VISA card
IIII IN-FIN-T-]FFT-]
Mycardexp s:
IMPORTANT: Copy complete account number
from your MasterCard
_T-_I .111 IN-T-NIII I1
CopyNumber I I I I I
above your
nalne on
MasterCard
My card ['-T-']
expires:
IMPORTANT: Copy complete account number
from your Discover Card
I I I III I I I I[---I---I_F-]--I--_
My card expires: _
AUTHORIZED SIGNATURE
(Credit card order will not be processed without signature)
Prices are subjectto change without notice.
Print or type your name and 1
addressclearly. This will be
your mailing label.
A complete and correct
order will save you days
of waiting.
Nanle:
Street:
Apt:
City:
State:
Zip:
.!
Please make sure that both sides of this form
have been f'dled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change
United States and Canada Orders
To place your order by phone, have your Visa,
MasterCard or Discover Card ready and call the toll-free
number listed below between 8AM and 8PM (EST)
Monday through Friday or between 9AMand 5PM (EST)
Saturday.
Use this number only to place on order for accessory
items listed on this order form.
1-800-338-0376
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
74