3OReferencesOrder Form for PartsUSE YOUR CREDIT CARDCopy complete account number[111 I_VT-7 F-F-_ F-T-T-1c_a e×pi_e_: ]--F--] E_Copy complete account numberFTT_ 7F-VT-11 I I I 17T'T-_Copy Number above the nameon your MasterCardCard expires: _AUTHORIZED SIGNATUREPrices are subject to change without notice.PLEASEPrint or type your name and address.This wiU be your mailing label.A complete and correct order willsave you days of waiting.Name:Street:City:State"Apt:Zip:Make sure that both sides of thisform have been filled out._J.I-!U.S. and Canadian OrdersBy Phone:1 - 800 - 338 - 0376Call this toll-free number between8AM and 8PM Eastern Standard Timeand place your order using your Visaor MasterCard. Use this numberonly to place an order for accessoryitems listed on this order form.By Mail:Detach the information at the left andmarl the payment to ThomsonConsumer Electronics, Inc., at:Video AccessoriesPO Box 8419Ronks, PA 17573Most orders are shipped UPS within72 hours. If it is not possible to shipwithin 30 days, we will notify you.For more current information onthese accessories, write to thefollowing address:Video Accessories Customer ServiceThomson Consumer Electronics, Inc.Distributor & Special Products2000 Clements Bridge RdDeptford, NJ 08096-2088International OrdersThis offer is valid only in the U.S.Send your request for price quotation(not orders) to:international Customer ServiceThomson Consumer Electronics, Inc.Distributor & Special Products2000 Clements Bridge RdDeptford, NJ 08096-2088 USA