Palmcorder Accessory Order Form - Panasonic Palmcorder PalmSight PV-L681 Operating Instructions Manual

Palmcorder Accessory Order Form
I IIIII
Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accesso_# | Description Price Each Quantity Total Price
+ -- . _ -- . _
! T --
I i
Subtotal
Your State & Local Sales Tax i
Shipping & Handling 6.95
Total Enclosed
3. Method of payment (check one)
Check or Money Order enclosed (NO C.O,D.SHIPMENTS)
D VISA Credit Card #
_i] MasterCard
_ Discover
Expiration Date
Customer Signature ....
Make Check or Money Order to: MATSUSHITA ACCESSORIES
(Please de 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 1-800-332-5368
[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
39