Panasonic DMCFX580S Digital Camera Accessory Order Form, For USA and Puerto Rico Customers

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.

VQT1Y62 135