Digital Camera Accessory Order Form - Panasonic LUMIX DMC-FP1 Basic Operating Instructions 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• C ustomer•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•
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••••(•••••••)
•(ENG)•VQT2K15
6.95
•••27