22ReferencesOrder Form for PartsUSE YOUR CREDIT CARDCopy complete account numberIIII IFT-F-1N--]--]_---_Car_oxpi,_UU]UZ]Copy complete account numberFFT-TG [--VT-N F-J--F-_ F-VT-T-1Copy Number above the nameon your MasterCard I IIIICarae_pi,e,:I--I---II--1--1AUTHORIZED SIGNATUREPrices are subject to change without notice.PLEASE! Print or type your name and address.This will 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.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 andmail the payment to ThomsonConsumer Electronics, Inc., at:Video AccessoriesPC) 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