Palmcorder Accessory Orde R Form - Panasonic Digital Plamcorder PV-DV901 Manual

Palmcorder Accessory order Form
Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accessory # Description
3. Method of payment (check one)
[]
C3
Price Each
Quantity Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
6.95
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)
State • Zip
Phone#:
Day (
Night (
)
)
Ship To:
Mr.
Mrs.
Ms.
First
Street Address
City
Last
TO OBTAIN ANY OF OUR PALMCORDER ACCESSORfES 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 TtME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
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