FOR CREDIT CARD PURCHASES
Yourcomplete charge card number, expiration dateand
signature are necessary to process all charge orders.
Copyyour complete account number from
your VISACard.
Copy your complete account number
from your
L[ILI
[_ 111 [1
Copy the number aboveyour
name on yourMamet_ml.
Authorized Signature
Use VISA or Ma*terCard preferably. Money order
or check mint be in U.S. currency only. No COD
or CASH.
Aft_rle_ aremhject toav_ability.Where
applicable, we will ship a superseding model.
This is your return label. Please print clearly.
To:
Name
Address
Apu
City
State ZIP
Please make sure that this form has been filled
out completely on both side,.
16
Customer. Cut along Dotted Line