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Palmcorder Accessory Order Form
Please photocopy this form when placing an order.
1. Palmcorder Model +
2. Items Ordered
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
3. Method of payment (check one)
O
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
C] VISA
Credit Card #
O
MasterCard
Expiration Date
CJ 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
( — )
o
Street Address
-x
Night ( — )
<
City
State
Zip
9
TO OBTAIN ANY OF OUR OMNIMOVIE/PALMCORDER
ACCESSORIES YOU CAN DO ANY OF
m
THE FOLLOWING:
=
VISIT YOUR LOCAL PANASONIC DEALER
o
OR
=
LOCATE YOUR AUTHORIZED ACCESSORY STOCKING DISTRIBUTOR AT 1-800-545-2672
3
OR
y
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368 [6 AM-6 PM M-F, 6-10:30
^
SAT PACIFIC TIME]
©
OR
3
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
39
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