Panasonic Digital Palmconder PV-DV51 Operating Instructions Manual page 50

Please photocopy
this
form
when
placing
an
order
1
Palmcorder Model #
2
Items
Ordered
Accessory #
Descnption
Price
Each
Quantity
Total Price
Subtotal
Your
State
&
Local
Sales
Tax
Shipping
&
Handling
Total
Enclosed
6 95
3 Method
of
payment
(check one)
Check
of
Money
Order enclosed
(NO
C
O
D
SHIPMENTS)
VISA
Credit
Card
#
MasterCard
Expiration
Date
Discover
Customer
Signature
Make
Check
or
Money
Order
to
PANASONIC ACCESSORIES
(Please
do
not
send cash)
4 Shipping
information
(UPS
delivery requires
complete
street
address)
Ship
To
Mr
Mrs
Ms
First
Last
Phone
#
Day
(
)
Street
Address
Night
( )
City State Zip
TO
OBTAIN
ANY OF OUR PALMCORDER ACCESSORIES YOU CAN DO ANY OF
THE
FOLLOWING
VISIT
YOUR
LOCAL PANASONIC DEALER
OR
CALL PANASONIC'S
ACCESSORY ORDER
LINE
AT
1-800-332-5368
[6
AM-5
PM
M-F, 6
AM-10 30
AM
SAT. PACIFIC TIME]
OR
MAIL THIS
ORDER TO
PANASONIC SERVICES
COMPANY ACCESSORY ORDER
OFFICE
20421
84th
Avenue
South
Kent,
WA
98032
50
For assistance, please
call
:
1
-800-21
1-PANA(7262)
or
sende-mailto: consumerproducis@panasonic.com