90Reference®rrs TMCharge your order on your VISA,MasterCard, or Discover Card byfilling in belowUSE YOUR CREDIT CARDIMPORTANT: Copy complete account numberfrom your VISA cardIMPORTANT: Copy complete account numberfrom your MasterCardMy card expires:My cardexpires:Copy Numberabove yourname onMasterCardAUTHORIZED SIGNATURE(Credit card order will not be processed without signature)Prices are subject to change without notice.Name:Street:Apt:City:State: Zip:Print or type your name andaddress clearly.Please make sure that both sides of this formhave been filled out completely.• Allow 4 weeks for delivery.• All accessories are subject to availability.• Prices are subject to changeA complete and correctorder will save you daysof waiting.IMPORTANT: Copy complete account numberfrom your Discover CardMy card expires:United States and Canada OrdersTo place your order by phone, have your Visa,MasterCard or Discover Card ready and call the toll-free number listed below between 8 AM and 10 PM(EST) Monday through Friday or between 9 AM and5 PM (EST) Saturday.Use this number only to place on order foraccessory items listed on this order form.1-800-338-0376To place your order by mail, detach and mail thecompleted order form with credit card information,money order or check in US currency (madepayable to Thomson Consumer Electronics, Inc.) tothe following address:Video AccessoriesPO Box 8419Ronks, PA 17573