Palmcorder Accessory Order Form - Panasonic PV-A208 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
Total Price
Subtotal
Your
State
&
Local Sales
Tax
Shipping
&
Handling
Total
Enclosed
5.00
3.
Method
of
payment
{check one)
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
delivery requires
complete
street
address)
Ship
To:
Mr.
Mrs.
Ms._
First
Last
Phone
#:
Day
( )
For
Street
Address
Night
( )
<
City State
Zip
o
c
TO
OBTAIN
ANY OF
OUR
OMNIMOVIE/PALMCORDER ACCESSORIES YOU CAN DO ANY OF
THE FOLLOWING:
5"
VISIT
YOUR
LOCAL PANASONIC DEALER
OR
CALL PANASONIC'S
ACCESSORY
ORDER
LINE
AT
1-800-211-7262
[9
AM-9
PM
M-F,
9
AM-7
AM
SAT-SUN,
EST]
OR
MAIL THIS
ORDER
TO:
PANASONIC SERVICES
COMPANY ACCESSORY
ORDER
OFFICE
ormation
20421
84th
Avenue
South
Kent,
WA.
98032
39