Palmcorder Accessory Order Form

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For Y

our 

Inf
ormation

Palmcorder Accessory Order Form

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

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

Credit Card #

MasterCard

Expiration Date

Discover

Customer Signature

Make Check or Money Order 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. Palmcorder Model #

DV53.P46-49.p65

03/01/21, 16:27

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