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DMC-GM1KP-VQT5D49_eng.book 51 ページ ２０１３年１０月４日 金曜日 午後２時５分
Digital Camera Accessory Order Form
(For USA and Puerto Rico Customers)
Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
Accessory #
Description
3. Method of payment (check one)
American Express
VISA
MasterCard
Discover
(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 NATIONAL PARTS CENTER
Price Each
Shipping & Handling
Your State & Local Sales Tax
Credit Card #
Expiration Date
Customer Signature
Last
State
Zip
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
[6 AM-6 PM M-F, PACIFIC TIME]
OR
20421 84th Ave S., Kent, WA 98032
Others
Quantity
Total Price
$6.95
Subtotal
Total
Phone#:
(
)
Day
(
)
Night
(ENG) VQT5D49
51
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