Panasonic PV-GS80 operating instructions Method of payment check one

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Camcorder Accessory Order Form (For USA Customers)

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 Payable to: PANASONIC ACCESSORIES

(Please do not send cash)

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

Ship To:
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:

VlSITYOUR LOCAL PANASONIC DEALER

OR

CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5388

[6 AM-6 PM M-F, PACIFIC TIME]

OR

MAIL THIS ORDER TO: PANASONIC SERVICES 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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