I_JIIJIL ee'j._llLe.L_ll P'._e_Le'L_._._L-_]LeJI_ LW3IlLtL_I JlLeJllll I
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 6.95
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: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
ShipTo:
Mr.
Mrs.
Ms.
First Last Phone #:
Day ( )
StreetAddress
Night ( )
City State Zip
TO OBTAIN ANY OF OUR 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, 6AM-10:30 AM SAT, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
47
To Next Page
Loading...
