Digital Camera Accessory Order Form (For Usa Customers) - Panasonic Lumix DMC-G1 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)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
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
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
In CANADA, please contact your local Dealer for more information about accessories.
160
VQT1U32
Description
Credit Card #
Expiration Date
Customer Signature
Make Check or Money Order to: PANASONIC ACCESSORIES
Last
VISIT YOUR LOCAL PANASONIC DEALER
CALL PANASONIC'S ACCESSORY ORDER LINE AT 1-800-332-5368
[6 AM-6 PM M-F, PACIFIC TIME]
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
Price Each Quantity
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
State Zip
THE FOLLOWING:
OR
OR
Total Price
Subtotal
6.95
Phone#:
( )
Day
( )
Night