Accessory Order Form (For Usa And Puerto Rico Customers) - Panasonic HC-V210 Basic Owner's Manual

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
Shipping & Handling
Subtotal
Your State & Local Sales Tax
Total
3. Method of payment (check one)
[] American Express
[] VISA Credit Card #
[] MasterCard Expiration Date
[] Discover Customer Signature
(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
$6.95
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-E PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC NATIONAL PARTS CENTER
20421 84th Ave. S., Kent, WA 98032
In CANADA, please contact your local Panasonic dealer for more information on
Accessories.
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