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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

 

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 SERVICE AND TECHNOLOGY 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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Panasonic HDC-HS900P/PC, HDC-TM900P/PC owner manual Accessory Order Form For USA and Puerto Rico Customers, 166