Panasonic DMC-TZ4S Digital Still Camera - Page 105

Digital Camera AccessoryOrder Form (For USA Customers - price

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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 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 Street Address Phone#: Day ( ) 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 In CANADA, please contact your local Dealer for more information about accessories. 105 VQT1P79

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VQT1P79
105
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
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
Street Address
City
State
Zip
Night
(
)
Day
(
)
Phone#:
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
In CANADA, please contact your local Dealer for more information about accessories.