Panasonic SDRS15 SDRS15 User Guide - Page 111

Accessory Order Form (For USA and Puerto Rico Customers

Page 111 highlights

Accessory Order Form (For USA and Puerto Rico Customers) Please photocopy this form when placing an order. 1. Model # 2. Items Ordered Accessory # Description Price Each Quantity Total Price Subtotal Your State & Local Sales Tax Shipping & Handling 6.95 Total Enclosed 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 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 In CANADA, please contact your local Panasonic dealer for more information on Accessories. 111 LSQT1426

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111
LSQT1426
Please photocopy this form when placing an order.
1. Model #
2. Items Ordered
Accessory #
Description
Price Each
Quantity
Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
6.95
Total Enclosed
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
Street Address
City
State
Zip
Night
(
)
Day
(
)
Phone#:
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
In CANADA, please contact your local Panasonic dealer for more information
on Accessories.
Accessory Order Form
(For USA and Puerto Rico Customers)