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Digital camera accessory order form, For usa customers) – Panasonic DMC-LX1PP User Manual

Page 126

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126

VQT0S19

Digital Camera Accessory Order Form

(For USA Customers)

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)

In CANADA, please contact your local Dealer for more information on

Accessories.

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-5 PM M-F, 6 AM-10:30 AM SAT, PACIFIC TIME]

OR

MAIL THIS ORDER TO: PANASONIC SERVICES COMPANY ACCESSORY ORDER OFFICE

20421 84th Avenue South Kent, WA. 98032