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 |
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| Shipping & Handling | $6.95 | |
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| Your State & Local Sales Tax |
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3.Method of payment (check one)
American Express
VISA | Credit Card # |
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MasterCard | Expiration Date |
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Discover | Customer Signature | ||
(Please do not send cash) |
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4. Shipping information (UPS delivery requires complete street address)
Ship To: |
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Mr. |
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Mrs. |
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Ms. |
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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 NATIONAL PARTS CENTER
20421 84th Ave S., Kent, WA 98032
(ENG) VQT4G94 51
