Others
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)
Expiration Date _
Customer Signature _
MasterCard
Discover
o Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
o VISA Credit Card # _
o
o
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
Last Phone#:
Day (
"'"-----'------
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-5 PM M-F, 6 AM-10:30 AM SAT, 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.
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