Panasonic PV-DV53 operating instructions Palmcorder Accessory Order Form, Visa

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	6.95
		Total Enclosed
3. Method of payment (check one)
Check of 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)

4. Shipping information (UPS delivery requires complete street address)

Ship To:
Mr.
Mrs.
Ms.				Phone #:
First	Last
				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

For Your Information

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