Camcorder Accessory Order Form (For Usa Customers) - Panasonic Palmcorder PV-GS90P Operating Instructions Manual

Camcorder Accessory Order Form
Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accessory #
3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
MasterCard
Discover
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms.
First
Street Address
City
TO OBTAIN ANY OF OUR PALMCORDER ACCESSORIES YOU CAN DO ANY OF
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
In CANADA, please contact your local Panasonic dealer for more information on Accessories.
52
LSQT1284
Description
Credit Card #
Expiration Date
Customer Signature
Make Check or Money Order Payable to: PANASONIC ACCESSORIES
Last
State
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
[6 AM-6 PM M-F, PACIFIC TIME]
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
Others
(For USA Customers)
P rice Each
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Zip
OR
OR
Quantity
Total Price
Subtotal
Phone#:
Day ( )
Night ( )
6.95