Panasonic DMC-ZS40 owner manual Digital Camera Accessory Order Form, Visa

Digital Camera Accessory Order Form

Please photocopy this form when placing an order.

1.Digital Camera Model #

2.Items Ordered

Accessory #	Description	Price Each		Quantity	Total Price
			Shipping & Handling		$6.95
				Subtotal
		Your State & Local Sales Tax
3. Method of payment (check one)				Total
American Express
VISA	Credit Card #
MasterCard	Expiration Date
Discover	Customer Signature

(Please do not send cash)

4.Shipping information (UPS delivery requires complete street address) Ship To:

Mr.

Mrs.

Ms.

First	Last		Phone#:	(	)
			Day
			Night
Street Address				(	)
City	State	Zip

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

(ENG) VQT5E54 41