Accessory order form, For y our information – Panasonic SV-PT1PP User Manual

Page 57

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For Y

our

Information

Accessory Order Form

Ship To:
Mr.
Mrs.
Ms.

First

Last

Street Address

City

State

Zip

Phone #:

Day

( )

Night ( )

4. Shipping information (UPS delivery requires complete street address)

Please photocopy this form when placing an order.

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)

1. SD Media Storage Model #

2. Items Ordered

TO OBTAIN ANY OF OUR SD MEDIA STORAGE 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

Quantity

Accessory #

Price Each

Description

Total Price

6.95

Subtotal

Your State & Local Sales Tax

Shipping & Handling

Total Enclosed

PT1.p57-62.p65

2003/01/14, 12:37

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