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128-6122
4 of 4
ORDER FORM FOR 3 BUTTON TRANSMITTER
MODEL NO. PRO-OE3B4
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.
Note: Order Pad # 70 if your Lock & Unlock Icons are White
Order Pad # 71 if your Lock & Unlock Icons are Red.
Note: Transmitter model number found on back of case. ___________
1. Name : ____________________________________________________
Address : _____________________________________________________
City : _____________________ State : _______ Zip Code : ____________
2. Telephone Number : ( _______ ) _______________________________
3. Enter the total number of transmitters required here : ________________
4. List model number of your actual transmitter pad as shown on page 4 of this
manual: _________________________
5. The cost per transmitter is $ 65.00.
6. Enter the total amount enclosed here : ____________________________
(New York State residents must include the appropriate sales tax.)
7. Method of payment; check one of the boxes below.
! Mastercard ! Visa ! Check or money order * ( do not send cash )
* Make checks payable to Audiovox Corporation
8. Credit Card Number : ________________________________________
9. 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.
10. Mail this form, and your check, to :
"
© 2001 Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, NY, 11788 128-6122
Audiovox Electronics Corp., 150 Marcus Blvd. Hauppauge, N.Y., 11788
Attn.: TRANSMITTER DEPARTMENT