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 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Subtotal |
|
| Your State & Local Sales Tax |
| |||
|
|
| Shipping & Handling | 6.95 | |
|
|
|
| Total Enclosed |
|
3.Method of payment (check one) |
| ||||
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
[6
OR
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
20 VQT4G38 (ENG)
