Accessory Order Form (For USA 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.

VQT1R00 103

Page 103
Image 103
Panasonic SDR-S7P/PC operating instructions Accessory Order Form For USA Customers, Visa