USE YOUR CREDIT CARD
Charge your order on your VISA, MasterCard,
or Discover Card by filling in the provided form:
IMPORTANT: Copy complete account number from your VISA card
1--_-_ CCI3Fr_ CI_ _xp_ondato:CE]CC]
VISA"
IMPORTANT: Copy complete account number from your MasterCard
FT-T-I-]f-I-I_ r-l--r--Nr-r--r-_
Copy Number above your name on MasterCard _ Expirationdate: _--]
IMPORTANT: Copy completeaccount number from your Discover Card
r-T--_ _-T--I--1_-r--r-] _-FTq
Exp_ooda_:CE]Vl-]
AUTHORIZED SIGNATURE
Print or type your name A complete and correct order
and address clearly, will save you days of waiting.
Name:
Street:
Apt:
City:
State: Zip:
Daytime Phone No.:
Please make sure that both sides of this form have been filled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change without notice
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