Digital Camera Accessory Order Form

Please photocopy this form when placing an order.

1. Model #

2. Items Ordered

Accessory #

 

Description

 

Price Each

 

 

Quantity

 

 

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

 

 

 

 

 

Your State & Local Sales Tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping & Handling

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.00

 

 

 

 

 

 

 

 

 

 

 

 

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: MATSUSHITA 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 1-800-272-7033 [8:30 AM-8 PM M-F, EST]

OR

MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE

20421 84th Avenue South Kent, WA. 98032

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Panasonic PV-DC1580 operating instructions Digital Camera Accessory Order Form, Visa