GE 19GT243 User Manual page 14

Charge your order on your VISA.
MasterCard,
or Discover
Card by
filling in belo\_
USE Your CREI)IT CARD
IMI'ORTANT: Copy complete account nLimbel
froln your VISA card
VISA
IlMPORTANT: Cop_ complcle
accoun[
number
l['onl your MaslerCard
r-F-V-mFT-T- V-VVVq
Copy Number
above your
name on
MasterCard
My card [---F'_ F--T-']
expires:
IMPORTANT: Cop5 complete account nunlber
flol/i yot]r Disco\rel Card
FTT-F-1FTT-F-qF-TTT1 FTT
My card exphes: _
AUTHORIZED SIGNATURE
(Credit card order will not be processed without signature)
Print or type your name and A complete and correct
address clearly, order will save you days
of waiting.
Name:
Street:
Apt:
City:
State:
Daytime Phone Number:
Zip:
Please make sure that both sides of this li)rm
have been filled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change
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Placing An Order
To place your order by phone, have your Visa, MasterCard
or Discover Card ready and call the toll free number listed
below. Use this number only to place an 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
12