Stock No.; Accessory Subtotal:; TOTAL DUE (US dollars)- Page 91

P-TOUCH ACCESSORY ORDER FORM

Dear Customer:
This order form is provided for your convenience should your retailer not stock the
item(s) needed.  To order by mail, send this completed form along with proper payment to
the address below OR credit card holders: Call toll-free 1-888-879-3232, fax completed
order form to 1-800-947-1445, or visit our web site at http://www.brothermall.com.
Please refer to the Accessories listing in your User's Guide for stock no. and price.

* Prices subject to change without notice.

Stock No.

Description

Price

Quantity

Total

Subtotal

Name:

Accessory Subtotal:

$                  

Address:

AZ, CA, CO, CT, FL, GA, IL, LA, MA,
MD, MI, MN, MO, NC, NJ, NV, NY,
OH, PA, TN, TX, VA, WAresidents
add applicable sales tax

City:

State/Zip:

$                  

Daytime Phone:

Shipping/Handing Options

SEND ORDER FORM TO:

Please choose one:

Brother International Corp.
Attn: Consumer Accessory Div.
P.O. Box 341332
Bartlett, TN38184-1332

• Standard ($5.00)

• 2nd day air freight ($8.75) Mandatory for all

deliveries outside of the continental U.S.
(Alaska, Hawaii, Puerto Rico, Virgin Islands
& Canada)

• All other overseas orders ($25.00) $                  

TOTAL DUE (US dollars)

$                  

Method of payment (Check one)

(    ) Visa (    ) MasterCard (    ) Discover (    ) American Express (    ) Check/Money Order

Account Number

Expiration Date

Signature

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