Camcorder accessory order form – Panasonic PV-GS80 User Manual
Page 73
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Camcorder Accessory Order Form
(For
usa
Customers)
Please photocopy this form when placing an order.
1. Palmcorder Model # ------------------------------
2. Items Ordered
Accessory #
Description
Price Each
Quantity
Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
6.95
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 Payable to: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms._
First
Last
Phone#:
Day (
Street Address
Night (
City
State
Zip
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-6 PM M-F, PACIFIC TIME]
OR
MAILTHIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
In CANADA, please contact your local Panasonic dealer for more information on Accessories.
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