Others
Camcorder Accessory Order Form
Please photocopy this form when placing an order.
1.Camcorder Model #
2.Items Ordered
Accessory #
Description
Price Each
Quantity
Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
3. Method of payment (check one)
6.95
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA | Credit Card # | |
MasterCard | Expiration Date |
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Discover | Customer Signature |
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| Make Check or Money Order to: PANASONIC ACCESSORIES | |
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To: |
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Mr. |
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Mrs. |
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Ms. |
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TO OBTAIN ANY OF OUR CAMCORDER ACCESSORIES YOU CAN DO ANY OF THE
FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
CALL PANASONIC’S ACCESSORY ORDER LINE AT
[6
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
65
