Panasonic SV-PT1PP Accessory Order Form, Visa, AM-5 PM M-F, 6 AM-1030 AM SAT, Pacific Time

Accessory Order Form

Please photocopy this form when placing an order.

1.SD Media Storage 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 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)

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 SD MEDIA STORAGE 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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