Digital Camera Accessory Order Form - Panasonic Lumix DMC-FZ35 Operating Instructions Manual

Others
)
Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
Accessory # Description Price Each Quantity Total Price
Subtotal
Your State
&
Local Sales Tax
Shipping
&
Handling
6.95
Total Enclosed
3. Method of payment (check one)
o
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
o
VISA Credit Card #
o
MasterCard Expiration Date _
o
Discover Customer Signature _
Phone#:
Day
Last
Make Check or Money Order to: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Ship To:
Mr.
Mrs.
Ms. _
First
Street Address
Night
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 SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
City
State
Zip
(ENG) VQT2G40
35