Digital camera accessory order form – Panasonic DMC-FH22 User Manual

Page 28

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VQT2K90 (ENG)

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Digital Camera Accessory Order Form

Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered

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)

Accessory #

Description

Price Each

Quantity

Total Price

Subtotal

Your State & Local Sales Tax

Shipping & Handling

6.95

Total Enclosed

Ship To:
Mr.
Mrs.
Ms.

First

Last

Phone#:
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 1-800-332-5368

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

OR

MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY

ACCESSORY ORDER OFFICE

20421 84th Avenue South Kent, WA. 98032

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