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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 (_

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IMPORTANT: Copy complete account number from your MasterCard

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Copy Number above your name on MasterCard [ I ] ] ] Expirationdate: _

IMPORTANT: Copy complete account number from your Discover Card

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Expiration date: _

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,

• Allow 4 weeks for delivery.

• All accessories are subject to availability.

RCA CC641 User Manual

Questions and Answers: