Panasonic Palmcoder PV-D407 Operating Instructions Manual page 37

Please photocopy this form when placing an order.
1. Palmcorder Model #
2, Items Ordered
Accessory # Description Price Each Quantity Total Price
3. Method of payment (check one)
O
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
5.00
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: 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 (
StreetAddress
Night ( )
City State Zip
TO OBTAIN ANY OF OUR OMNIMOVtE/PALMCORDER ACCESSORIES YOU CAN DO ANY OF
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
LOCATE YOUR AUTHORIZED ACCESSORY STOCKING DISTRIBUTOR AT 1-800-545-2672
OR
CALLPANASON[C'S ACCESSORY ORDER LINE AT 1-800-332-5368 [6 AM-6 PM M-F, 6-10:30
SAT PACIFIC TIME]
OR
MAILTHIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84thAvenue SouthKent, WA. 98032
37