52
For Other Destinations
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-3350 (For Other Destinations) for UF-580/590
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> TONER CARTRIDGE ORDER FORM <
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**** 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-3350
(6)
Serial No.:
Quantity Required:
/ /
Print your name and title
Signature & Date
