Digital Camera Accessory Order Form - Panasonic DMC-TS25R Basic Owner's Manual

Digital Camera Accessory Order Form

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
26
VQT4N50 (ENG)
Description
Credit Card #
Expiration Date
Customer Signature
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]
MAIL THIS ORDER TO: PANASONIC NATIONAL PARTS CENTER
20421 84th Ave S., Kent, WA 98032
Price Each
Shipping & Handling
Your State & Local Sales Tax
State Zip
THE FOLLOWING:
OR
OR
Quantity Total Price
$6.95
Subtotal
Total
Phone#:
( )
Day
( )
Night