Panasonic DMC FS42 Digital Still Camera - Page 28

Digital Camera Accessory Order Form - price

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Digital Camera Accessory Order Form Please photocopy this form when placing an order. 1. Digital Camera Model # 2. Items Ordered Accessory # Description Price Each Quantity Total Price Subtotal Your State & Local Sales Tax Shipping & Handling 6.95 Total Enclosed 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: PANASONIC ACCESSORIES (Please do not send cash) 4. Shipping information (UPS delivery requires complete street address) Ship To: Mr. Mrs. Ms. First Last Phone#: Day ( ) Street Address Night ( ) City State Zip 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 1-800-332-5368 [6 AM-6 PM M-F, PACIFIC TIME] OR MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY ACCESSORY ORDER OFFICE 20421 84th Avenue South Kent, WA. 98032 28 VQT2B45 (ENG)

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28
VQT2B45 (ENG)
Digital Camera Accessory Order Form
Please photocopy this form when placing an order.
1. Digital Camera Model #
2. Items Ordered
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: PANASONIC ACCESSORIES
(Please do not send cash)
4. Shipping information (UPS delivery requires complete street address)
Accessory #
Description
Price Each
Quantity
Total Price
Subtotal
Your State & Local Sales Tax
Shipping & Handling
6.95
Total Enclosed
Ship To:
Mr.
Mrs.
Ms.
First
Last
Phone#:
Day
(
)
Street Address
Night
(
)
City
State
Zip
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 1-800-332-5368
[6 AM-6 PM M-F, PACIFIC TIME]
OR
MAIL THIS ORDER TO: PANASONIC SERVICE AND TECHNOLOGY COMPANY
ACCESSORY ORDER OFFICE
20421 84th Avenue South Kent, WA. 98032