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 |
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Subtotal |
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Your State & Local Sales Tax |
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Shipping & Handling | 6.95 |
Total Enclosed |
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3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA | Credit Card # |
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MasterCard | Expiration Date |
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Discover | Customer Signature |
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| Make Check or Money Order to: PANASONIC ACCESSORIES | |||
(Please do not send cash) |
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4.Shipping information (UPS delivery requires complete street address) Ship To:
Mr.
Mrs.
Ms.
First | Last |
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Street Address |
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City |
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| State | Zip |
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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
[6
OR
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
28 VQT2T42 (ENG)
