Advertisement
Please
photocopy
this
form
when
placing
an order.
t. Palmcorder Model #
2. items Ordered
#
Description
Price Each
Quantity
Total Price
Accessory
3,Method ofpayment (checkone)
D
D
D
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
6.95
Check or Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
Credit Card #
MasterCard
Exp{ration Date
Discover
Customer Signature
Make Check or Money Order to: PANASONtC ACCESSORIES
(Please do 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
Stats
Zip
TO OBTAIN ANY OF OUR 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-10:3Q AM SAT, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC
SERVICES
COMPANY
ACCESSORY
ORDER OFFiC_
2g¢21 B44h Avenue South Kent, WA. 98032
37
Advertisement
