Table of Contents
Advertisement
Accessory Order Form (For USA and Puerto Rico Customers)
Please photocopy this form when placing an order.
1. Model #
2. Items Ordered
Accessory
#
Description
Price Each
Quantity
Total Price
Subtotal
Your State
&
Local Sales Tax
Shipping
&
Handling
6.95
Total Enclosed
3. Method of payment (check one)
D
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
D
VISA
Credit Card
#
D
MasterCard
Expiration Date
D
Discover
Customer Signature
Phone#:
Day
Last
Make Check or Money Order Payable to: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms.
_
First
Street Address
Night
City
State
Zip
TO OBTAIN ANY OF OUR 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-6 PM M-F, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
In CANADA, please contact your local Panasonic dealer for more information on Accessories.
108
LSQT1488
Advertisement
Table of Contents
