Digital camera accessory order form – Panasonic DMC-LF1W User Manual

Page 33

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(ENG) VQT5A15

33

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

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