RCA CC6271 ユーザーズマニュアル

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Accessory Order Form
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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
IMPORTANT: Copy complete account number from your MasterCard 
Expiration date:
Expiration date:
Copy Number above your name on MasterCard
AUTHORIZED SIGNATURE
Prices are subject to change without notice.
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.
IMPORTANT:    Copy complete account number from your Discover Card 
Expiration date:
Print or type your name and
address clearly. 
A complete and correct order will
save you days of waiting.
Name: 
Street:
Apt:
City:
State:
Zip:
Detach Here