Panasonic PV-A208 - Palmcorder Accessory Order Form

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
5.00
3.
Method
of payment
{check
one)
Check
or Money Order
enclosed
(NO
C.O.D.SHIPMENTS)
VISA Credit
Card
#
MasterCard
Expiration
Date
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
( )
For
Street
Address
Night
( )
<
City State
Zip
o
c
TO
OBTAIN
ANY
OF OUR OMNIMOVIE/PALMCORDER
ACCESSORIES YOU CAN
DO
ANY OF
THE
FOLLOWING:
5"
VISIT YOUR LOCAL PANASONIC DEALER
OR
CALL PANASONIC'S
ACCESSORY ORDER LINE
AT
1-800-211-7262
[9
AM-9 PM M-F,
9
AM-7 AM SAT-SUN, EST]
OR
MAIL THIS
ORDER
TO:
PANASONIC SERVICES COMPANY ACCESSORY
ORDER OFFICE
ormation
20421 84th
Avenue South
Kent,
WA. 98032
39