143
VQT2W55
Accessory Order Form (For USA and Puerto Rico
Customers)
TO OBTAIN ANY OF OUR 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-6 PM M-F, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
Ship To:
Mr.
Mrs.
Ms.
First
Last
Street Address
City
State
Zip
Phone#:
Day
( )
Night
( )
4. Shipping information (UPS delivery requires complete street address)
Please photocopy this form when placing an order.
3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
MasterCard
Make Check or Money Order Payable to: PANASONIC ACCESSORIES
(Please do not send cash)
2. Items Ordered
Quantity
Accessory #
Price Each
Description
Total Price
6.95
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
1. Model #
Discover
Expiration Date
Credit Card #
Customer Signature
HDCSDX1_eng.book 143 ページ 2010年6月11日 金曜日 午前9時27分