Audiovox 5BCR03 Programming Guide - Page 6

ORDER FORM FOR TRANSCEIVERS 5BCR/5BCR03/5BCR05/5BCR07 5BCR/5BCR03 5BCR05/5BCR07 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. Be certain to specify MODEL NUMBER found on back of your transceiver___________ 1) Name 2) Address 3) City State:________Zip Code:__________ 4 Telephone Number:( 5) Total Number Of Transmitters Required:_______ Cost Per Transmitter is: $85.00 Multiply By Number Of Transmitters X 6) Enter Total Amount Enclosed _______ (New York State Residents must include the appropriate sales tax) 7) 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 8) Mail this form along with your payment to: Transmitter Ordering Department Audiovox Corporation 150 Marcus Blvd., Hauppauge N.Y. 11788  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 6 128-6799C 6 of 8