Other InformationCharge your order on your VISA,MasterCard, or Discover Card byfilling in belowUSE YOUR CREDIT CARDIMPORTANT: Copy complete account numberfrom your VISA cardN-r-_ N-_ CEzES]ffl--_My card expires: _IMPORTANT: Copy complete account numberfrom your MasterCardrr--rl-q rT-N-G_-r--_ Fr--r--NCopy Numberabove yournaifle onMasterCardMycardI--1--1I--I-Gexpires:IMPORTANT: Copy complete account numberfrom your Discover CardCI2EZ3N--T-_ r-_-r-q N--N-GMy card expires: _AUTHORIZED SIGNATURE(Credit card order will not be processed without signature)Print or type your name and _ A complete and correctaddress clearly. + order will save you daysof waiting.I] Name:] Street:Apt.I City:I State:II Daytime Telephone No.:IZip:Please make sure that both sides of this form have beenfilled out completely.• Allow 4-6 weeks for delivery.• All accessories are subject to availability.• Prices are subject to change.ToPlacean OrderTo place your order by phone, have your Visa, MasterCardor Discover Card ready and call the toll-free number listedbelow.Use this number only to place on order for accessory itemslisted on this order form.1-800-338-0376To place your order by mail, detach and mail thecompleted order form with credit card information, moneyorder or check in US currency (made payable to ThomsonConsumer Electronics, Inc.) to the following address:Video AccessoriesPO Box 8419Ronks, PA 17573104 Chapter 7
