Table of Contents
Advertisement
Palmcorder Accessory order Form
Please photocopy this form when placing an order.
1. Palmcorder Mode! #
2. Items Ordered
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
3. Method of payment (check one)
[J
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
LJ
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
[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
60
For assistance, please call : 1-800-21 1-PANA(7262) or
send e -maii to : consumerproducts @ panasonic.com
Advertisement
Table of Contents
