Panasonic Digital Palmcoder PalmSight PV-DV900 Operating Instructions Manual page 54

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
3. Method of payment (check one)
[] Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
[] VISA Credit Card #
[] MasterCard
[] Discover
5.00
Expiration Date
Customer Signature
Make Check or Money Order to: MATSUSHITA ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
)
)
Last Phone #:
Day (
Street Address
Night (
City State Zip
Ship To:
Mr.
Mrs.
Ms.
First
TO OBTAIN ANY OF OUR OMNIMOVlE/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-10:30 AM SAT, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
54
For assistance, call 1-800-211-PANA(7262)