Panasonic HC-V500M owner manual Accessory Order Form For USA and Puerto Rico Customers, 157

Accessory Order Form (For USA and Puerto Rico Customers)

Please photocopy this form when placing an order.

1. Model #

2. Items Ordered

Accessory #		Description		Price Each			Quantity				Total Price
						Shipping & Handling					$6.95
								Subtotal
					Your State & Local Sales Tax
									Total
3. Method of payment (check one)
	American Express
	VISA	Credit Card #
	MasterCard	Expiration Date
Discover		Customer Signature
(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 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-6 PM M-F, PACIFIC TIME]

OR

MAIL THIS ORDER TO: PANASONIC NATIONAL PARTS CENTER

20421 84th Ave. S., Kent, WA 98032

In CANADA, please contact your local Panasonic dealer for more information on Accessories.

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