A SERVICE OF

logo

L
ORDERING ADDITIONAL or REPLACEMENT TRANSMITTERS:
Order Form for Additional 2 Button Transmitters
Model: PRO 92BTINT
IMPORT ANT: Read instructions below and legibly print all required informa-
tion.
1. Fill in the following information
NAME
ADDRESS
STATE ZIP CODE
CITY
DATE PURCHASED
WHERE PURCHASED
2. Enter the number of transmitters requried here
3. The cost per transmitter is $65.00
4. Enter total amount enclosed here $
(N. Y. State residents only: Include appropriate state sales
5. OOose check or money order (do not send cash) payable to: Audiovox
~.or~ail this form and your payment to:
Audiovox Corporation
150 Marcus Blvd.
Hauppauge, N.Y. 11788
Attn: Key Ordering Supervisor
128-4204