Digital Camera Accessory Order Form (For Usa Customers) - Panasonic LUMIX DMC-GX8 Owner's 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)
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
Description Price Each
Your State & Local Sales Tax
Credit Card #
Expiration Date
Customer Signature
Last
State
THE FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
VISIT OUR WEBSITE AT:
http://shop.panasonic.com/
Quantity
Shipping & Handling
Subtotal
Total
Phone#:
Day
Night
Zip
OR
Total Price
$6.95
( )
( )
(ENG) SQT0775
Others
73