User's Manual

128-8707
3 of 2
Attention: Transmitter Ordering Department
Important: To help us expedite your order, please print all
of the information legibly and mail this form and your pay-
ment according to the instructions below.
1)Name:_____________________________________
2) Address:_________________________________________
3) City:________________State:________Zip Code:__________
4 Telephone Number: ( )_____________________
5) Total Number Of Transmitters Required:_______
Cost Per Transmitter is: $.00
Multiply By Number Of Transmitters X
6) Enter Total Amount Enclosed _______
(New York State Residents must include the appropriate sales tax)
7) Method of Payment:
Mastercard Visa Check or Money Order (do not send cash)
Make Checks Payable To Audiovox Corporation
Credit Card Number:___________________________________
Credit Card Expiration Date: ____/___/____
8) Mail this form along with your payment to:
Transmitter Ordering Department
Credit card purchasers can order additional or replacement
transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and
follow the instructions from the operator interface.
ORDER FORM
FOR TRANSMITTER 091BPr