Warranty

QUESTIONS: MAIL YOUR COMPLETED FORM TO:

Please email: Lumix_Double_Warranty@us.panasonic.com Panasonic

ATTN: Lumix Triple Your Warranty Program

2 Riverfront Plaza, 9

Floor (09S-197)

Newark, NJ 07102

Name:_______________________________________________ Email: ____________________________

Address (Street):_______________________________________ Phone: ____________________________

Address (City, State, Zip): _______________________________________________________________________

Model Number: Serial Number:

Purchased From: Purchase Date:

Please select one answer for each of the following questions:

I purchased this camera primarily for:

( ) Video

( ) Photos

This is my first Lumix camera/camcorder:

( ) Yes

( ) No

I am upgrading from another Camera/Camcorder

( ) Yes

( ) No. If Yes, Model:________

I am a(n): ( ) Professional Videographer ( ) Professional Photographer ( ) Amateur/Enthusiast

( ) Please check if you do not want to receive information from Panasonic about special offers, firmware,

promotions, and new products, or participate in surveys about new products on behalf of Panasonic.