Digital Camera Accessory Order Form; (For Usa Customers) - Panasonic DMC-FX50 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 # Description
3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA
MasterCard
Discover
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
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
[6 AM-5 PM M-F, 6 AM-10:30 AM SAT, PACIFIC TIME]
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
In CANADA, please contact your local Dealer for more information about
accessories.
Price Each Quantity
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
Credit Card #
Expiration Date
Customer Signature
Phone#:
Last
Day
Night
State Zip
THE FOLLOWING:
OR
OR
Others
Total Price
6.95
( )
( )
119
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