Panasonic SDRS15 SDRS15 User Guide - Page 111
Accessory Order Form (For USA and Puerto Rico Customers
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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