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Digital Camera Accessory Order Form
(For USA Customers)
Please photocopy this form when placing an order.
1.
Digital Camera 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)
D Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
D VISA Credit Card #
D MasterCard Expiration Date _
D Discover Customer Signature _
Phone#:
Day
Last
Make Check or Money Order to: PANASONIC ACCESSORIES
(Please do not send cash)
4.
Shipping information (UPS delivery requires complete street address)
Ship
To:
Mr.
Mrs.
Ms.
_
First
Street Address
Night
City State
Zip
TO OBTAIN ANY OF OUR DIGITAL CAMERA 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 Dealer for more information about accessories.
VQT1M97
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