Electronics - Access Securepak
Electronics - Access Securepak
Electronics - Access Securepak
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11371<br />
A. RCA 13” Flat Screen LED Television<br />
with Tilting Base<br />
B. AMP’D 13” Color LCD Television<br />
•13” LCD Screen (LED backlit panel) with Digital Tuner •<br />
Warranty: 180 days (six full months) parts and labor • Hard<br />
wired cord, ETL approved • Cable ready • Clear Ear Buds<br />
Included • CC3 - Closed Caption 3 Function • On-screen<br />
display in English and Spanish • Remote Control Not Included<br />
• Lightweight, less than 7 lbs. • Antenna and Coaxial Cable<br />
Not Included<br />
California Special Purchase Orders<br />
• 13” LED Screen • Multilingual On-screen Display • Clear Ear Buds Included<br />
• Closed Caption Capability • Clear Stand • Clock and Sleep Timer • Remote<br />
Control Not Included (television is remote capable) • Antenna and Coaxial Cable<br />
Not Included<br />
Item #51895010N ...........with speaker $215.95<br />
Item #51906010N ......without speaker $215.95<br />
s n l<br />
the RCA television set has a 180-day parts and labor warranty. If your set<br />
is defective within the first 180 days of purchase, please return it to 55-101<br />
Vista blvd., Sparks, NV 89434 with a copy of your proof of purchase. After 180<br />
days, but within 12 months, you will need to send your television, a copy of<br />
your proof of purchase and $90.00 (warranty and labor cost) to the address<br />
above for your television to be repaired or replaced.<br />
Item #51803010N ...........with speaker $199.95<br />
Item #51802010N ......without speaker $199.95<br />
s n l<br />
the AMP’D television set has a 180 day parts and labor warranty. If your set is defective within the first 30 days<br />
of purchase, <strong>Access</strong> <strong>Securepak</strong> will replace the AMP’D television if there is a material or workmanship defect. If<br />
your set is defective within 31 to 180 days, customers should return the tV with a copy of their dated sales receipt<br />
freight prepaid to the AMP’D Service Center (in warranty information) and the tV will be repaired and returned to<br />
the customer within 14 working days of receipt of the tV. After 180 days from the date of purchase, the customer<br />
must return the tV freight prepaid to the AMP’D Service Center along with their sales receipt and a prepaid check in<br />
the amount of $50.00 payable to AMP’D <strong>Electronics</strong> to cover labor and return shipping. the tV will be repaired and<br />
returned to the customer within 14 working days of receipt of the tV. this service excludes damage to the LCD panel.<br />
If there is damage to the LCD panel, AMP’D will provide a written estimate on repair and panel replacement costs.<br />
JANUARY 2012 CATALOG<br />
There will be an $8.00 California Electronic Waste Recycling Fee on ALL Television Orders<br />
Item # Style<br />
Closed Caption<br />
Capacity<br />
On-Screen<br />
Display<br />
Menu<br />
Control<br />
Electronic Tuning<br />
and Volume<br />
Privilege Group A = s Privilege Group B= n Privilege Group D= l<br />
Sleep<br />
Timer<br />
Earphone<br />
Jack<br />
Side View<br />
Side View<br />
AC Adapter<br />
Included<br />
W”xH”xD”<br />
A. 51895/51906 RCA 13” LED Flat Screen TV • • • • • • 15 x 13 x 6.75<br />
B. 51802/51803 AMP’D 13” LCD TV • • • • • Hardwire 13.8 x 4.1 x 11.3
Headphones<br />
<strong>Electronics</strong><br />
A. KOSS CL-20<br />
Clear Headphones<br />
Item #51282020N .........$25.50<br />
E. KOSS CL-PRO<br />
Clear Headphones<br />
Item #50662010N .........$18.10<br />
s n<br />
I. Sunsport<br />
Clear Headphones<br />
Item #51389010N ...........$9.10<br />
s n<br />
B. KOSS CL-10<br />
Clear Headphones<br />
Item #51113040N .........$22.85<br />
s n s n s n<br />
F. KOSS CL-19<br />
Clear Headphones<br />
Item #50663010N .........$18.10<br />
s n<br />
C. KOSS CL-5<br />
Clear Headphones<br />
Item #51583020N ...........$8.00<br />
G. KOSS CL-4<br />
Clear Headphones<br />
In-Line Volume Control<br />
1 Year Limited Warranty<br />
Item #51283010N .........$13.10<br />
s n<br />
J. KOSS CL-2<br />
Clear Headphones<br />
1 Year Limited Warranty<br />
Item #51281010N ...........$6.40<br />
s n<br />
Order Online at<br />
www.californiaspo.com<br />
D. KOSS CL-80<br />
Clear Headphones<br />
Item #51302020N .........$46.00<br />
s n<br />
H. KOSS CL-9<br />
Clear Headphones<br />
Item #50660010N ...........$9.30<br />
s n<br />
K. Sunsport<br />
Clear Wrap-Around<br />
Earphones<br />
Item #51592010N ........ $5.25<br />
s n<br />
Item # Style All Plastic Cord Length Earcup Size Frequency Response Impedance Plug Size<br />
A. 51282 Koss CL-20 Clear Headphones • 6' 3" 30-20,000 HZ 60 OHMS 3.5 MM<br />
B. 51113 Koss CL-10 Clear Headphones • 6' 2.5" 20-20,000 HZ 60 OHMS 3.5 MM<br />
C. 51583 Koss CL-5 Clear Headphones • 6' 2.6" 60-20,000 HZ 32 OHMS 3.5 MM<br />
D. 51302 Koss CL-80 Clear Headphones • 6' 3.72" 16-22,000 HZ 60 OHMS 3.5 MM<br />
E. 50662 KOSS CL-PRO Clear Headphones • 4' 2" 15-25,000 HZ 60 OHMS 3.5 MM<br />
F. 50663 KOSS CL-19 Clear Headphones • 4' 2.75" 40-20,000 HZ 32 OHMS 3.5 & 6.3 MM<br />
G. 51283 KOSS CL-4 Clear Headphones • 4' 2.5" 40-20,000 HZ 32 OHMS 3.5 MM<br />
H. 50660 KOSS CL-9 Clear Headphones • 4' 2.25" 50-20,000 HZ 32 OHMS 3.5 MM<br />
I. 51389 Sunsport Clear Headphones • 6' 2.5" 15-22,000 HZ 32 OHMS 3.5 MM<br />
J. 51281 KOSS CL-2 Clear Headphones • 4' 1.75" 100-18,000 HZ 32 OHMS 3.5 MM<br />
K. 51592 Sunsport Clear Wrap-Around Earphones • 5' 10" 2" 20-20,000 HZ 32 OHMS 2.5 MM<br />
Privilege Group A = s Privilege Group B= n Privilege Group D= l
Personal Radios<br />
Digital Radios<br />
Radio<br />
Cassette<br />
Players<br />
D. Sangean DT-120<br />
AM/FM Radio<br />
Clear Ear Buds<br />
Item #50752010N .........$41.15<br />
s n<br />
Item # Style<br />
E=Earphones<br />
AP=All Plastic<br />
Headphones AM/FM<br />
Detachable<br />
Belt Clip<br />
Rotary<br />
Volume<br />
Rotary<br />
Tuning<br />
Bass<br />
Boost<br />
Local<br />
Distance Switch<br />
Earcup<br />
Size<br />
Batteries<br />
(not included)<br />
A. 51005 Sony SRF-39 FP Clear AP • • • • • in ear 1 “AA”<br />
B. 50546 GPX A2825 Clear E • • • in ear 2 “AA”<br />
C. 72066 Jensen JSR-1000 AP • • • • 2” 2 “AAA”<br />
D. 50752 Sangean DT-120 E • auto • in ear 1 “AAA”<br />
Item # Style<br />
A. SONY SRF-39 FP<br />
Clear AM/FM Radio<br />
Clear Ear Buds<br />
Item #51005010N .........$20.70<br />
s n<br />
E=Earphones<br />
AP=All Plastic<br />
Headphones AM/FM<br />
Detachable<br />
Belt Clip<br />
Rotary<br />
Volume<br />
Digital<br />
Tuning<br />
Preset<br />
Stations<br />
Bass<br />
Boost<br />
Earcup<br />
Size<br />
Batteries<br />
(not included)<br />
E. 51953 GPX RDT4004CLR E • • • • 5 • in ear 2 “AAA”<br />
F. 51363 Sony SRF-M35FP Clear AP • • • • 15 in ear 2 “AAA”<br />
Item # Style<br />
G. SONY WM-FX193FP Clear<br />
AM/FM Cassette Player<br />
Includes Clear Ear Buds<br />
AC Adaptable – DC in 3V Jack<br />
Works with Adapters #51589, 51528<br />
Item #50055010N .... $35.90<br />
s n<br />
CDCR does not allow the purchase of accessories without the purchase of a television, audio appliance or typewriter.<br />
<strong>Access</strong>ory purchases by themselves are considered quarterly packages.<br />
E=Earphones<br />
E. GPX RDT4004CLR Clear Digital<br />
AM/FM Radio<br />
Clear Ear Buds<br />
Item #51953010N .........$25.00<br />
s n<br />
AP=All Plastic<br />
Headphones AM/FM<br />
<strong>Electronics</strong><br />
Detachable<br />
Belt Clip<br />
B. GPX A2825<br />
Clear AM/FM Radio<br />
3 Band Equalizer<br />
Clear Ear Buds<br />
Item #50546010N .........$14.50<br />
s n<br />
Rotary<br />
Volume<br />
Rotary<br />
Tuning<br />
Bass<br />
Boost<br />
C. JENSEN JSR-1000<br />
Clear AM/FM Radio<br />
Item #72066010N .........$19.55<br />
s n<br />
F. SONY SRF-M35FP Clear Digital<br />
AM/FM Radio<br />
Built-in clock (no alarm)<br />
Item #51363010N .........$36.25<br />
s n<br />
H. SENTRY TR792 Clear<br />
AM/FM Cassette Player<br />
AC Adaptable – DC in 3V jack<br />
Auto Stop, Play, Forward Buttons<br />
Works with Adapter #51589<br />
Item #51292010N .........$18.45<br />
with Clear Ear Buds<br />
Item #51292020N .........$18.45<br />
s n<br />
Auto<br />
Stop<br />
Earcup<br />
Size<br />
Batteries<br />
(not included)<br />
G. 50055 Sony WM-FX193FP E • • • • in ear 2 “AA”<br />
H. 51292 Sentry TR792 AP • • • • • • 3” 2 “AA”<br />
Privilege Group A = s Privilege Group B= n Privilege Group D= l
Order Online at<br />
www.californiaspo.com<br />
Portable<br />
CD Players<br />
Ear Buds<br />
A. AMP’D Clear Digital<br />
AM/FM CD Player<br />
LCD Display<br />
45-second Anti-Shock Protection<br />
Bass Boost<br />
20 Programmable AM/FM Channels<br />
Low Battery Indicator<br />
Clear Ear Buds included<br />
Dimensions: 5" x 5½" x 1"<br />
Works with Adapter #51589<br />
Item #51161010N ........... $49.00<br />
s n<br />
Item # Style AM/FM<br />
Rotary<br />
Volume<br />
Digital<br />
Tuning<br />
Bass<br />
Boost<br />
Earcup<br />
Size<br />
Earphone<br />
Jack<br />
B. Sony Clear DFJ003<br />
AM/FM CD Player<br />
LCD Display<br />
Skip Free G-Protection<br />
Digital Mega Bass<br />
Clear Ear Buds Included<br />
Synthesized Tuner<br />
CD-R/RW Playback<br />
Item #50535010N .........$66.00<br />
s n<br />
Batteries<br />
(not included) W“ x H“ x D“<br />
A. 51161 AMP'D Clear Digital CD Player • • • • in ear • 2 ”AA“ 5 x 5.5 x 1<br />
B. 50535 SONY CLEAR DFJ003 CD Player • • • • in ear • 2 ”AA“ 5.5 x 1 x 5.5<br />
C. KOSS CL-3 Clear Ear Buds<br />
Item #50294010N ............. $3.85<br />
s n l<br />
Skull Candy<br />
Ear Buds<br />
NEW!<br />
F. Skull Candy Inkd<br />
Ear Buds<br />
Item #53096010N ..........$24.95<br />
s n l<br />
D. Clear Ear Buds<br />
Item #51752010N ........$7.10<br />
Replacement Clear Ear Pads<br />
(not pictured)<br />
Item #51752020N ........$1.10<br />
s n l<br />
Skull Candy<br />
Earphones<br />
stay in your ears<br />
when you run!<br />
NEW!<br />
G. Skull Candy<br />
Chops Earphones<br />
Item #53097010N ..........$29.95<br />
s n<br />
H. Sony Clear<br />
Ear Buds<br />
Item #50755010N ............$9.80<br />
s n l<br />
E. Maxell Clear Ear Buds<br />
Item #51728010N ....... $4.65<br />
s n l<br />
Item # Style All Plastic Cord Length Frequency Response Impedance Plug Size<br />
C. 50294 Koss CL-3 Clear Ear Buds • 4' 80-20,000 HZ 32 OHMS 3.5 MM<br />
D. 51752 Clear Ear Buds • 3’10” 20-20,000 HZ 32 OHMS 3.5 MM<br />
E. 51728 Maxell Clear Ear Buds • 6' 20-21,000 HZ 32 OHMS 3.5 MM<br />
F. 53096 Skull Candy Inkd Ear Buds • 4’ 20-22,000 Hz 160 OHMS 3.5 MM<br />
G. 53097 Skull Candy Chops Earphones • 4’ 20-22,000 Hz 160 OHMS 3.5 MM<br />
H. 50755 Sony Clear Ear Buds • 3’3” 18-22,000 HZ 16 OHMS 3.5 MM<br />
I 51842 Koss CL-24 Ear Buds • 4’ 10-20,000 HZ 19 OHMS 3.5 MM<br />
Privilege Group A = s Privilege Group B= n Privilege Group D= l<br />
<strong>Electronics</strong><br />
I. Koss CL-24<br />
Ear Buds<br />
• 3 Shapes<br />
Item #51842010N .......... $21.45<br />
s n l
A. Swintec Typewriter<br />
Model #2410CC<br />
1-Line Correction Memory<br />
Pitch Selector - 10, 12, 15<br />
Line Space & Tab Selector<br />
Item #50451010N ...................$209.00<br />
s n<br />
B. TV Matching<br />
Transformer<br />
Item #50788010N ............ $2.75<br />
s n l<br />
C. VCR-TV Transformer<br />
Item #50789010N ........$1.20<br />
s n l<br />
D. 6 ft. Non-Coiled<br />
Headphone Extension<br />
with Mini Jack<br />
Item #50829010N ....... $4.25<br />
s n l<br />
E. Koss VC/20<br />
Volume Control<br />
Item #50061010N ....... $8.80<br />
s n<br />
F. Coaxial cables<br />
3’- Item #50137030 ......... $2.75<br />
6’- Item #50137060 ......... $2.95<br />
s n l<br />
G. Single Line/Single<br />
Outlet Surge Protector<br />
Item #50180010N ....... $4.00<br />
s n<br />
N. Headphone Adapter Mini<br />
Converts Mono to Stereo<br />
Item #50795010N ........$2.15<br />
s n<br />
All products are covered by the manufacturer’s warranty, as stated on or inside the package. Please refer to these instructions for details on warranty work and service center locations. Send the<br />
product to the manufacturer’s authorized service facility. For your convenience, some of the addresses and phone numbers for the service facilities are listed below.<br />
GPX<br />
GPX<br />
2116 Carr St.<br />
St. Louis, MO 63106<br />
(314) 621-2881<br />
<strong>Electronics</strong><br />
H. 6ft. Extenstion Cord<br />
with Circuit Breaker<br />
Item #50958010N ......$12.00<br />
s n<br />
I. Clear CD Wallet<br />
Item #50598010N ........$1.25<br />
s n<br />
J. Dry Cloth CD<br />
Head Cleaner<br />
Item #50064010N ....... $4.35<br />
s n<br />
K. Female to Female Connector<br />
(Barrel Coupler)<br />
Item #50114010N ........$1.20<br />
s n<br />
L. Headphone Adapter Standard<br />
Converts 3.5 mm to 1/4”<br />
Item #50140010N ........$2.15<br />
s n<br />
M. Headphone Adapter Mini<br />
Converts 1/4” to 3.5 mm<br />
Item #50146010N........ $2.15<br />
s n<br />
O. Y Adapter<br />
Item #50130010N ....... $2.60<br />
s n<br />
SONY<br />
Please call (800) 942-7669 for nearest service location.<br />
All Sony Clear Products MUST be returned to <strong>Access</strong> Catalog Company<br />
during manufacturer’s warranty period.<br />
www.sony.com<br />
WARRANTY INFORMATION<br />
P. “F” Plug (TV Adapter<br />
“F” Jack to 3.5MM Plug)<br />
Item #50376010N ........$1.80<br />
s n l<br />
Q. Two-Way Hybrid<br />
Signal Splitter<br />
Item #50131010N ............$3.25<br />
s n l<br />
R. Dipole Antenna (allowed for CIW only)<br />
(not pictured)<br />
Item #50521010N ........$2.10<br />
s n<br />
S. Artec Digital<br />
Antenna<br />
Item #51556010N .......... $15.25<br />
s n l<br />
Batteries - Not Pictured<br />
EE 821675 Ion 3 “AA” Batteries - 4 pk s n $1.50 JJ 28119 Panasonic “C” Batteries - 2 pk s n $2.50<br />
FF 821676 Ion 3 “AAA” Batteries - 4 pk s n $1.50 KK 28118 Panasonic “D” Batteries - 2 pk s n $2.50<br />
GG 721131 Panasonic “AA” Batteries - 4 pk s n $3.15 LL 28125 Panasonic “9 Volt” Battery - 1 pk s n $2.10<br />
HH 721132 Panasonic “AAA” Batteries - 4 pk s n $3.15 MM 824984 AC Delco Replacement AAA Batteries - 4 pk NEW! s n $13.95<br />
II 824983 AC Delco Charger with 4 “AA” Batteries NEW!<br />
s n $24.95 NN 829485 AC Delco Replacement AA Batteries - 4 pk NEW! s n $13.95<br />
Order Information<br />
RESIDENTS OF CORRECTIONAL INSTITUTIONS: Some institutions require that a special purchase order form be completed,<br />
approved, and submitted with your order. Special Purchase Orders may be placed directly with <strong>Access</strong> Catalog where institutional<br />
policy allows. Please have your order complete; during peak times it is especially difficult to make changes to orders once they have<br />
been placed. In either case, please provide the following information:<br />
SHIPPING INFORMATION: Your name, your Inmate Identification Number, Institution Name, Address, Dorm/Housing #,<br />
City, State, and Zip Code.<br />
PRODUCTS ORDERED: <strong>Access</strong> Catalog Item Number, Product Description, and Price.<br />
SALES TAX: Prices include all applicable sales tax.<br />
SHIPPING AND HANDLING CHARGES: ALL ORDERS ARE SubjECt tO A $4.99 SHIPPING<br />
AND HANDLING CHARGE.<br />
PAYMENT: Orders will be accepted when accompanied by institution check, money order, or credit card (MasterCard, Visa or Discover).<br />
When paying by credit card be sure to include the card number, expiration date, card member's name, and card member's phone<br />
number and address.<br />
SERVICES: For a minimal fee, we can remove or disconnect the speaker from a TV.<br />
MAILING ADDRESS:<br />
<strong>Access</strong> Catalog Special Purchase Order • P.O. Box 50028 • Sparks, NV 89435-0028 • Phone: 1-800-546-6283<br />
T. Clear Adapter<br />
Fits Sony WM-FX193 FP<br />
Item #51528010N ......$10.60<br />
s n<br />
U. Clear Adapter<br />
SSU A96-7<br />
Fits Sentry TR792,<br />
Sony WM-FX193 FP, AMP’D CD Player<br />
Item #51589010N ........$7.70<br />
s n<br />
V. Male to Male<br />
Adapter<br />
Item #51668010N ........$1.99<br />
s n<br />
Typewriter<br />
<strong>Access</strong>ories<br />
W. Swintec Correction Tape<br />
• Model #2410CC<br />
Item #50777010N ....$10.80 s n<br />
X. Swintec Replacement<br />
Ribbon<br />
• Model #2410CC<br />
Item #51177010N ....$10.80<br />
Y. Smith Corona<br />
Replacement Ribbon<br />
• Model #21000<br />
• 2 Pack<br />
• Works with H-Series<br />
Item #50222010N ....$10.20<br />
Z. Smith Corona<br />
Correctable Tape<br />
• Model #22200<br />
• 2 Pack<br />
• Works with #51326<br />
Item #51327010N ....$9.80<br />
AA. Smith Corona<br />
Correction Tape<br />
• Model #21060<br />
• Works with H-Series<br />
Item #50223010N ....$6.10<br />
BB. Smith Corona<br />
Correctable Tape<br />
• Model #22210<br />
• 2 Pack<br />
• Works with #51326<br />
Item #51328010N ....$5.40<br />
CC. Brother Correctable<br />
Ribbon Cartridge<br />
• Model #1030<br />
Item #51314010N ....$7.00<br />
DD. Brother Daisywheel<br />
• For Brother ML 100 Typewriter<br />
• Model #GHAM411<br />
• 10 Pitch Bougham Font<br />
Item #51374020N ....$28.30 s n<br />
Privilege Group A = s<br />
Privilege Group B= n<br />
Privilege Group D= l<br />
s n<br />
s n<br />
s n<br />
s n<br />
s n<br />
s n<br />
CATALOG CHANGES: Every effort has been made to show and describe the merchandise in this catalog as accurately as possible.<br />
However, many manufacturers make minor changes in design, color, and style during the year. We regret any changes that might occur<br />
and will make every effort to substitute items of equal or greater quality.<br />
RETURNS: Used or damaged items cannot be returned, exchanged or refunded. They are covered only by the manufacturer’s warranty.<br />
If an item is found to be defective upon receipt and is returned to us within 30 days it shall be repaired or replaced at no charge.<br />
(Please send to: <strong>Access</strong> Catalog, 13870 Corporate Woods Trail, Bridgeton, MO 63044)<br />
<strong>Access</strong> Catalog is not responsible for refused items. Please make sure that the item you ordered is approved and will be accepted at<br />
your facility. Shipping and Handling charges are non-refundable. Please Note: Due to stringent manufacturer’s warranty policies,<br />
we cannot replace any television once it has been engraved. Sorry, but the set must be sent by you to the authorized manufacturer’s<br />
service facility. (See your owners manual.) We will happily replace any defective set under our 30 day policy if returned without<br />
engraving. this policy does not apply to the RCA television sets (Item #’s 51895 and 51906). Please see the return information<br />
for the RCA on the front page of this flyer for warranty and return information.<br />
IF YOuR SEt IS DEFECtIVE WItHIN tHE FIRSt 30 DAYS, AND It IS NOt ENGRAVED, YOu MuSt WRItE OR CALL<br />
1-800-546-6283 tO GEt A REtuRN AutHORIZAtION. SEtS REtuRNED tO uS WItHOut A REtuRN AutHORIZAtION<br />
ON tHE bOX WILL bE REFuSED bY OuR WAREHOuSE.<br />
STATUS: In order to inquire about the status of an order, after waiting a reasonable length of time<br />
for it to arrive, write to us. Please address your inquiry to:<br />
<strong>Access</strong> Catalog Special Purchase Order<br />
Attn: Customer Service<br />
10880 Lin Page Place<br />
St. Louis, MO 63132<br />
AMP’D <strong>Electronics</strong>, Inc.<br />
Service Center<br />
1312 John Reed Court<br />
City of Industry, CA 91745 USA<br />
Order Online at<br />
www.californiaspo.com
1<br />
From: (Please Print) De: (Por Favor Imprima)<br />
Name (Nombre) ______________________________________________<br />
Street Address (Dirección): ______________________________________<br />
City (Ciudad): ________________________________________________<br />
State (Estado): ____________ Zip (Código Postal): ____________________<br />
Daytime Phone (Teléfono [en el día]): ( ______ ) ______________________<br />
2<br />
Ship to: (Please Print) Enviar a: (Por Favor Imprima)<br />
Name (Nombre): _____________________________________________<br />
CDCR# (Número de Preso): ______________________________________<br />
Institution (Institución): _________________________________________<br />
Dorm(Dormitorio)/Housing(Cuarto): ____ Inmate Box#(Celda): ______________<br />
if applicable<br />
Street Address (Dirección): _____________________________________<br />
City (Ciudad): ________________________________________________<br />
State (Estado): _______________ Zip (Código Postal): _________________<br />
Your family can also call 1-800-546-6283 to place a<br />
credit card order or visit us at www.californiaspo.com<br />
También puede llamar al 1-800-546-6283 para hacer un<br />
pedido con una tarjeta de crédito ó visite nuestra página<br />
de internet en www.californiaspo.com<br />
Order Information<br />
Select Payment Method:<br />
Seleccione un Método de Pago:<br />
Institutional Check ❍ Money Order ❍<br />
(Cheque Institucional)<br />
MasterCard ❍ VISA ❍ DISCOVER ❍<br />
(Make Checks & Money Orders Payable to ACCESS SECuREPAK ® )<br />
(Haga los Cheques y Monei Ordenes a Nombre de ACCESS SECuREPAK ® )<br />
Cardholder Name: _______________________________________<br />
(Imprima el Nombre de la Persona Dueña de la Tarjeta de Crédito) (Please Print)<br />
Cardholder’s Signature: ___________________________________<br />
(Firma de la Persona Dueña de la Tarjeta de Crédito)<br />
Daytime Phone Number (Teléfono [en el día]): ( _____ ) ________________________<br />
Credit Card Number (Número de la Tarjeta de Crédito)<br />
Expiration Date: _______________ Today’s Date: ________________________<br />
(Fecha de Vencimiento) (Fecha de Hoy)<br />
As an added Security measure, please note the three-digit security code<br />
on the back of your card.<br />
Last 3 digits<br />
of account<br />
number panel<br />
<strong>Access</strong> <strong>Securepak</strong> ® • P.O. Box 50028<br />
Sparks, NV 89435-0028<br />
*Prices include all applicable sales tax.*<br />
California Special Purchase Order Form<br />
QtY. ItEM# DESCRIPtION/COLOR PRICE<br />
The accessories can be purchased through SPO only when purchasing a related appliance listed above.<br />
Purchasing any of the accessories without an appliance will be counted as a quarterly package by R&R.<br />
Order Online at<br />
www.californiaspo.com<br />
3<br />
tOtAL PRICE<br />
Total del la orden<br />
Sales tax<br />
Impuesto de ventos<br />
Shipping & Handling<br />
Empaque y entrega<br />
California Recycling Fee – add $8.00<br />
(applies only if purchasing a television)<br />
Cargo per reciclado electronico para el estado de California<br />
(add $8.00) (aplica solamente si ordena la television)<br />
If placing an order for yourself,<br />
please add 10% IWF<br />
Si va a hacer una ordén para usted mismo,<br />
please agregue el 10% IWF<br />
GRAND tOtAL<br />
Total final<br />
INCLUDED<br />
$4.99