Panasonic VQT2D42, DMC-FS12 operating instructions 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

						Subtotal
			Your State & Local Sales Tax
				Shipping & Handling
								6.95
3. Method of payment (check one)					Total Enclosed
	Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
	VISA	Credit Card #
	MasterCard	Expiration Date
Discover		Customer Signature
		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.						Phone#:
	First	Last
						Day	(	)
	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

(ENG) VQT2D42 29