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Palmcorder Accessory Order Form
Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Your State & Local Sales Tax
Shipping & Handling
Subtotal] |
Total Enclosed
3. Method of payment (check one)
Check or Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
Credit Card #
MasterCard
Expiration Date
a
e
Discover
Customer Signature
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Make Check or Money Order to: MATSUSHITA 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 OMNIMOVIE/PALMCORDER ACCESSORIES YOU CAN DO ANY OF
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-211-7262
[9 AM-9 PM M-F, 9 AM-7 AM
SAT-SUN, EST]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY
ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
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