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.
Stock No.
Name:
Address:
City:
State/Zip:
Daytime Phone:
SEND ORDER FORM TO:
Brother International Corp.
Attn: Consumer Accessory Div.
P.O. Box 341332
Bartlett, TN38184-1332
Method of payment (Check one)
(
) Visa (
) MasterCard (
Account Number
Expiration Date
Signature
Description
Accessory Subtotal:
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
Shipping/Handing Options
Please choose one:
TOTAL DUE (US dollars)
) Discover (
) American Express (
Price
Quantity
Subtotal
• 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) $
) Check/Money Order
* Prices subject to change without notice.
Total
$
$
$