Camcorder Accessory Order Form; (For Usa Customers) - Panasonic PV-GS400 Mode D'emploi

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Camcorder Accessory Order Form

Please photocopy this form when placing an order.
1. Palmcorder Model #
2. Items Ordered
Accessory # Description
3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
MasterCard
Discover
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.
First
Street Address
City
TO OBTAIN ANY OF OUR PALMCORDER ACCESSORIES YOU CAN DO ANY OF
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]
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
In CANADA, please contact your local Panasonic dealer for more information on Accessories.
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Others

(For USA Customers)

P rice Each
Your State & Local Sales Tax
Shipping & Handling
Credit Card #
Expiration Date
Customer Signature
Last
State Zip
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
OR
20421 84th Avenue South Kent, WA. 98032
Quantity
Total Price
Subtotal
6.95
Total Enclosed
Phone#:
Day ( )
Night ( )