Digital Camera Accessory Order Form
Please photocopy this form when placing an order.
1.Digital Camera Model #
2.Items Ordered
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Subtotal |
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Your State & Local Sales Tax |
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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 DiscoverCustomer 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. |
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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 SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
28 VQT3E21 (ENG)
