Panasonic Palmcorder PalmSight PV-L857 - Palmcorder Accessory Order Form; Tenente Tentent Ette Aon

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