Others
Accessory Order Form (For USA Customers)
Please photocopy this form when placing an order.
1.
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)
o Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
o
VISA
Credit Card #
o MasterCard Expiration Date
D Discover Customer Signature
Phone#:
Day
Last
Make Check
or
Money Order Payable to: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship
To:
Mr.
Mrs.
Ms. _
First
Street Address
Night
City
State Zip
TO OBTAIN ANY OF OUR ACCESSORIES
YOU
CAN DO ANY
OF
THE
FOLLOWING:
VISITYOUR LOCAL PANASONIC DEALER
OR
CALL PANASONIC'S ACCESSORY ORDER LINE
AT
1-800-332-5368
[6 AM-6
PM
M-F,
PACIFIC TIME]
OR
MAILTHIS ORDER TO: PANASONIC SERVICE AND TECNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
In
CANADA, please contact your local Panasonic dealer for more information on
Accessories.
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