Digital Camera Accessory Order Form; (For Usa Customers) - Panasonic DMC-FZ18 Operating Instructions Manual

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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)
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
In CANADA, please contact your local Dealer for more information about accessories.
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Description
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
MasterCard
Discover
Make Check or Money Order to: PANASONIC ACCESSORIES
Ship To:
Mr.
Mrs.
Ms.
First
Street Address
City
TO OBTAIN ANY OF OUR DIGITAL CAMERA ACCESSORIES YOU CAN DO ANY OF
VISIT YOUR LOCAL PANASONIC DEALER
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
20421 84th Avenue South Kent, WA. 98032
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Price Each
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Credit Card #
Expiration Date
Customer Signature
Last
State Zip
THE FOLLOWING:
OR
[6 AM-6 PM M-F, PACIFIC TIME]
OR
ACCESSORY ORDER OFFICE
Quantity Total Price
Subtotal
6.95
Phone#:
( )
Day
( )
Night