Digital camera accessoiy order form, For usa custoiïiers) – Panasonic DMC-FS5 User Manual

Page 111

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Digital Camera Accessoiy Order Form

(For USA Custoiïiers)

Please photocopy this form when placing an order.

1. Digital Camera Model # -------------------------------

2. Items Ordered

Accessory #

Description

Price Each

Quantity

Subtotal

Your State & Local Sales Tax

Shipping

&

Handling

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________________

Total Price

6.95

Make Check or Money Order to: PANASONIC ACCESSORIES

(Please do not send cash)

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

ShipTo:

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

In CANADA, please contact your local Dealer for more information about accessories.

VOTI M97 111

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