Digital Camera Accessory Order Form
Please photocopy this form when placing an order.
1.Digital Camera Model #
2.Items Ordered
Accessory # | Description | Price Each |
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| Shipping & Handling | $6.95 | |
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| Subtotal |
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| Your State & Local Sales Tax |
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3. Method of payment (check one) |
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American Express |
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VISA | Credit Card # |
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MasterCard | Expiration Date |
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Discover | Customer Signature |
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(Please do not send cash)
4.Shipping information (UPS delivery requires complete street address) Ship To:
Mr.
Mrs.
Ms.
First |
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| Night |
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Street Address |
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City |
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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) VQT5A15 33
