Manual

_ccessory Order Form ...........................
i
Charge your order on your VISA,
MasterCard, or Discover Card by
filling in below
USE YOUR CREDIT CARD
IMPORTANT: Copy complete account number
from your VISA card
Iill iI-r-l-ql--I- I-7
Mycar_expires:I-'T--I
IMPORTANT: Copy complete account number
from your MasterCard
I I I I I[ I I I II I I I I IT-IW-]
CopyN.mber [ I [ 1 I My card [7"7 [_]
above your expires:
name on
MasterCard
IMPORTANT: Copy complete account number
from your Discover Card
I 1 I I II I I I II I I I II I I I I
Mycardexpiros:i--rq7-l-q
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
Print or type your name and
address clearly. This will be
your mailing label.
A complete and correct _ _
order will save you days
of waiting.
Name:
Street:
City:
State:
Apt:
Zip:
Please make sure that both sides of this form
have been filled out completely.
_7
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