Palmcorder Accessory Order Form - Panasonic Palmcorder PalmSight PV-L779 Operating Instructions Manual

Palmcorder Accessory Order Form
Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accessory # Description Price Each Quantity
I
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
3. Method of payment (check one)
Total Price
5.00
[] Check or 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 ttelivery 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 E)EALER
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
77