53
For Y
our
Information
Palmcorder Accessory Order Form
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 or Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
Credit Card #
MasterCard
Expiration Date
Discover
Customer Signature
Make Check or Money Order 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. Palmcorder Model #
TO OBTAIN ANY OF OUR PALMCORDER 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-5 PM M-F, 6 AM-10:30 AM SAT, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY
ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
