Audiovox APS2K4SBCF50 Programming Manual - Page 6

ORDERFORMFORAPS-2K4, APS-2K4S, APS-2K4MS, APS-2K4SFL & APS-2K4MSFL Attention: Transmitter Ordering Department Important: To help us expedite your order, please print all of the information legibly and mail this form and your payment according to the instructions below. Indicate the pad number of your transmitter selected from the pads shown above. Note: Transmitter model number found on back of case. APS-2K4MSFL & APS-2K4SFL Main use PD 110, Side use 111 1)Pad Number 2)Name 3)Address 4) City State: _____ Zip Code: ________ 5) Telephone Number 6) Total Number Of Transmitters Required: Cost Per Transmitter is: $65.00 Multiply By Number Of Transmitters X ______ 7) Enter Total Amount Enclosed New York State Residents must include the appropriate sales tax) 8) Method of Payment: ‰ Mastercard ‰ Visa ‰ Check or Money Order (do not send cash) Make Checks Payable To Audiovox Corporation Credit Card Number Credit Card Expiration Date  Credit card purchasers can order additional or replacement transmitters by phone. Simply dial 1 - 800 - 645 - 4994, and follow the instructions from the operator interface. Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, N.Y., 11788 Attn.: TRANSMITTER DEPARTMENT 6 128-6516A 6 of 8