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Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accessory # Description Price Each Quantity Total Price
3. Method of payment (check one)
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[]
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Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA Credit Card #
MasterCard
Discover
6.95
Expiration Date
Customer Signature
Make Check or Money Order to: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
)
)
ShipTo:
Mr.
Mrs.
Ms.
First Last Phone #:
Day (
Street Address
Night (
City State Zip
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
66
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