Others

Digital Camera Accessory Order Form

(For USA and Puerto Rico 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

 

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

In CANADA, please contact your local Dealer for more information about accessories.

VQT1V73 111

Page 111
Image 111
Panasonic DMC-FS8S, DMC-FS7 operating instructions Digital Camera Accessory Order Form, For USA and Puerto Rico Customers