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For assistance, call 1-800-272-7033.
Digital Camera Accessory Order Form
Please photocopy this form when placing an order.
2. Items Ordered
1. Model #
TO OBTAIN ANY OF OUR DIGITAL CAMERA ACCESSORIES YOU CAN DO ANY OF THE
FOLLOWING:
VISIT YOUR LOCAL PANASONIC DEALER
OR
CALL PANASONIC’S ACCESSORY ORDER LINE AT 1-800-272-7033 [8:30 AM-8 PM M-F, EST]
OR
MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032
Ship To:
Mr.
Mrs.
Ms.
First Last
Street Address
City State Zip
Phone #:
Day ( )
Night ( )
4. Shipping information (UPS delivery requires complete street address)
3. Method of payment (check one)
Check of Money Order enclosed (NO C.O.D.SHIPMENTS)
VISA Credit Card #
MasterCard Expiration Date
Discover Customer Signature
Make Check or Money Order to: MATSUSHITA ACCESSORIES
(Please do not send cash)
QuantityAccessory # Price EachDescription
Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
Total Enclosed
5.00
SD4090.p67-76.p65 99/11/11, 16:4168