Compu-TTY KBS300RX Bedienungsanleitung PDF herunterladen (Seite 17)

KEEP YOU

R TICKET FOR TRACKING YOU

R ORDER

ORDER#

Initial name

Today date (number only)

MM-DD-YY

BILL TO:

Name

Address 1

Address 2

City

State Zip Code

Phone (TTY, Videophone or Voice)

Fax E-mail

SHIP

TO:

Use Bill’s address to ship

Name

Address 1

Address 2

City

State Zip Code

Order

s cannot ship to PO Boxes

ORDER#

ORDER FORM

Initial Name

DATE

Initial Name

FOUR WAYS TO ORDER:

• Phone (800) 366-9950

• Fax (817) 738-1970

• Online at

www.KrownMfg.com

• Mail to

3408 Indale Rd, Fort Worth, TX 76116

ITEM# DESCRIPTION OF PRODUCT QTY COST

OTAL

SHIPPING &

HANDLING

FINAL

TOTAL

METHOD OF PAYMENT

Check is (enclosed) Money Order

(enclosed)

Visa MasterCard Discover American

Express

Credit Card #

te Expire

Print Name

as appears on card

Signature

is required for all charge orders

Check is (enclosed) Money Order

Visa MasterCard Discover American

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Compu-TTY KBS300RX Bedienungsanleitung Seite 17

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