Panasonic Palmcorder PV-D427 - Page 37

Palmcorder
Accessory
Order
Form
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
Expiration Date
Discover
Customer Signature
5.00
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.
Phone #:
Day
( )
First Last
Street Address
Night
(
)
aty
State Zip
TO OBTAIN ANY
OF OUR
OMNIMOVIE/PALMCORDER
ACCESSORIES YOU
CAN
DO ANY
OF
THE FOLLOWING:
VISIT
YOUR
LOCAL
PANASONIC
DEALER
OR
LOCATE YOUR AUTHORIZED
ACCESSORY
STOCKING
DISTRIBUTOR AT
1-800-545-2672
OR
CALL PANASONiaS ACCESSORY
ORDER
LINE AT
1-800-332-5368
[6
AM-6
PM
M-F,
6-10:30
SAT
PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC
SERVICES
COMPANY ACCESSORY
ORDER OFFICE
20421
84th Avenue
South
Kent
WA. 98032
37