Panasonic HDC-TM10PP, HDC-SD10PP Accessory Order Form For USA and Puerto Rico Customers, 142

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
3. Method of payment (check one)								Total Enclosed
	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

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