Panasonic Palmcorder MultiCam PV-DV203 Operating Instructions Manual page 93

Please photocopy this form when placing an order.
1, Palmcorder Model #
2. Items Ordered
Accessory # Description Price Each Quantity Total Price
L
Subtotal
Your State & Local Sales Tax
Sh]pping & Handling 6,95
Total Enclosed
3. Method of payment (check one)
Check o_ Money Order enclosed (NO C.QDSHIPMENTS)
[_ 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 reqdres comp{ete street address)
Ship To:
Mr,
Mrs.
Ms,
First
Last Phor_a#:
Day (
Street Address
Night (
Cit_ State Zip
TO OBTAIN ANY OF OUR PALMCORDER ACCESSORIES YOU CAN DO ANY OF THE
FOLLOWING:
V{StT 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: PANASONtC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA, 98032
93