Panasonic Palmcorder PV-D407 Operating Instructions Manual page 37

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 5.00
Total Enclosed
3. Method of payment (check one)
□
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: 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 ( )_
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
LOCATE YOUR AUTHORIZED ACCESSORY STOCKING DISTRIBUTOR AT 1-800-545-2672
OR
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368 [6 AM-6 PM M-F, 6-10:30
SAT PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
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