Accessory Order Form

154

VQT3U98

Accessory Order Form 

(For USA and Puerto Rico Customers)

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

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 of Money Order enclosed (NO C.O.D.SHIPMENTS)      

VISA

MasterCard

Make Check or Money Order Payable to: PANASONIC ACCESSORIES

(Please do not send cash)    

2. Items Ordered  

Quantity

Accessory # 

Price Each 

Description

Total Price 

6.95

Subtotal

Your State & Local Sales Tax

Shipping & Handling

Total Enclosed

1. Model #   

Discover

Expiration Date 

Credit Card #  

Customer Signature 

HDC-Z10000P-VQT3U98_mst.book  154 ページ  2011年10月17日 月曜日 午後2時24分