Digital Camera Accessory Order Form - Panasonic DMC-LC33PP Operating Instructions Manual

Digital Camera Accessory Order Form

(For USA Customers)
Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
Accessory #
3. Method of payment (check one)
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms.
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
In CANADA, please contact your local Dealer for more information on
Accessories.
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Description
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
First Last
Street Address
City
TO OBTAIN ANY OF OUR DIGITAL CAMERA ACCESSORIES YOU CAN DO ANY OF
VISIT YOUR LOCAL PANASONIC DEALER
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368
[6 AM-5 PM M-F, 6 AM-10:30 AM SAT, PACIFIC TIME]
20421 84th Avenue South Kent, WA. 98032
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Price Each Quantity
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Phone#:
Day
Night
State Zip
THE FOLLOWING:
OR
OR
96
Total Price
Subtotal
6.95
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