Digital camera accessory order form, For usa and puerto rico customers) – Panasonic DMC-G5X User Manual

Page 51

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51

(ENG) VQT4G94

Digital Camera Accessory Order Form

(For USA and Puerto Rico Customers)

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 1-800-332-5368

[6 AM-6 PM M-F, PACIFIC TIME]

OR

MAIL THIS ORDER TO: PANASONIC NATIONAL PARTS CENTER

20421 84th Ave S., Kent, WA 98032

Ship To:
Mr.
Mrs.
Ms.

First

Last

Street Address

City

State

Zip

Phone#:

Day

( )

Night

(

)

4. Shipping information (UPS delivery requires complete street address)

Please photocopy this form when placing an order.

3. Method of payment (check one)

American Express

VISA

MasterCard

(Please do not send cash)

2. Items Ordered

Quantity

Accessory #

Price Each

Description

Total Price

$6.95

Subtotal

Your State & Local Sales Tax

Shipping & Handling

Total

1. Digital Camera Model #

Discover

Expiration Date

Credit Card #

Customer Signature

DMC-G5X&G5K&G5PP-VQT4G94_eng.book 51 ページ 2012年6月22日 金曜日 午前8時24分

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