Digital Camera Accessory Order Form - Panasonic Lumix DMC-S1 Basic Owner's Manual

Digital Camera Accessory Order Form

Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
Accessory #
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
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms.
First
Street Address
City
TO OBTAIN ANY OF OUR DIGITAL CAMERA ACCESSORIES YOU CAN DO ANY OF
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
28
VQT3E21 (ENG)
Description
Make Check or Money Order to: PANASONIC ACCESSORIES
Last
State
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
[6 AM-6 PM M-F, PACIFIC TIME]
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
Price Each
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Zip
OR
OR
Quantity Total Price
Subtotal
Phone#:
Day (
Night (
6.95
)
)