51
For USA and Canada
Explanation of Contents
(1) Low Toner Message (Fixed)
“The toner supply in your machine is running low”
(2) Dealer Name
Up to 25 digits
(3) Order Tel #
Up to 36 digits
(4) Order Fax #
Up to 36 digits
(5) Customer ID
Up to 16 characters (User Identification Code)
(6) Toner Cartridge #
UG-5510 (For USA / Canada) for UF-780/790
*************************************
> TONER CARTRIDGE ORDER FORM <
*************************************
**** The toner supply in your facsimile machine is running low ****
(1)
To order a replacement Cartridge from your Authorized Dealer
Panafax Corp.
(2)
by Phone: 1 201 111 5555
(3)
by Fax:
1 201 111 4444
(4)
Thank you for your order.
Customer Name and Address
=========================
Ship to:
Bill to:
Attention:
Attention:
Phone No.:
Phone No.:
Customer ID: ABC COMPANY
(5)
P.O. No.(if required):
Toner Cartridge: UG-5510
(6)
Serial No.:
Quantity Required:
/ /
Print your name and title
Signature & Date
