Brother SX-4000 - Manual (Page 50)

1. Review the order form and select the desired items.
2. Complete the form, indicating the quantity of each item.
3. Total the columns. Enter the total cost on the “Supply/Accessory Total” Line.
4. Add the appropriate Sales Tax and Shipping/Handling Charge.
5. Clearly print your name and address on the Shipping Label below.
6. Send this order form, along with proper payment, to the address below
OR
Visa or MasterCard holders, call toll free, anytime, 800-284-4357,
or fax both sides of your completed order form to 800-947-1445.
To Complete the Order Form:
Shipping Label
Name: _________
Address:__________
City: _________
State: _________ Zip;
Daytime Phone < )
Supply/Accessory Total
AZ, CA, CT. FL, GA. IL, LA, MA, Ml, MN, MO, NC, NY. SC, TN,
TX, VA and WA residents add applicable sales tax -----------------
Add $3.00 Shipping/Handling
TOTAL DUE
Method of Payment (check one)
( ) Visa ( ) MasterCard ( ) Check/Money Order
Account Number ____________________________
Expiration Date _____________________________
Signature __________________________
SEND ORDER FORM TO;
Brother International Corp.
P.O. Box 341332
Bartlett, TN 38184-1332
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