Panasonic HX-A100D - Manual (Page 33)

33
VQT4X87
In CANADA, please contact your local Panasonic dealer for more information on Accessories.
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 NATIONAL PARTS CENTER
20421 84th Ave. S., 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)
American Express
VISA
MasterCard
(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
1. Model #
Discover
Expiration Date
Credit Card #
Customer Signature
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