Digital camera accessory order form – Panasonic DMC-FZ70K User Manual
Page 29
(ENG) VQT5B59
29
Digital Camera Accessory Order Form
Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
Accessory #
Description
Price Each
Quantity
Total Price
Shipping & Handling
$6.95
Subtotal
Your State & Local Sales Tax
Total
3. Method of payment (check one)
American Express
VISA
Credit Card #
MasterCard
Expiration Date
Discover
Customer Signature
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
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 NATIONAL PARTS CENTER
20421 84th Ave S., Kent, WA 98032