DigitalDigital CameraCamera AccessoryAccessory OrderOrder FormForm
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 Si | gnature |
|
|
| |||||
|
| 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
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE 20421 84th Avenue South Kent, WA. 98032
ForFor Yourour InformationInformation
59
59 | 00/09/25, 10:45 |
