Panasonic VM-L153 operating instructions Palmcorder Accessory Order Form, Visa

Palmcorder Accessory Order Form

Please photocopy this form when placing an order.

1.Palmcorder 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 or Money Order enclosed (NO C.O.D.SHIPMENTS)
	VISA	Credit Card #
	MasterCard	Expiration Date
	Discover	Customer Signature
		Make Check or Money Order 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 PALMCORDER 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-5 PM M-F, 6 AM-10:30 AM SAT, PACIFIC TIME]

OR

MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY

ORDER OFFICE

20421 84th Avenue South Kent, WA. 98032

For Your Information

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