Panasonic Lumix DMC-CM1 - Digital Camera Accessory Order Form

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58
SQT0433 (ENG)
Digital Camera Accessory Order Form
TO OBTAIN ANY OF OUR DIGITAL CAMERA ACCESSORIES YOU CAN DO ANY OF
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
YOU MAY CONTACT US DIRECTLY AT:
1-800-237-9080 (FAX ONLY)
OR
MAIL THIS ORDER TO: PANASONIC NATIONAL PARTS CENTER
20421 84th Avenue South, Kent, WA 98032
Ship To:
Mr.
Mrs.
Ms.
tsaLtsriF
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
QuantityhcaE ecirP # yrosseccA ecirP latoTnoitpircseD
$6.95
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total
1. Digital Camera Model #
Discover
Expiration Date
Credit Card #
Customer Signature
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