Panasonic UF-5100 - Manual (Page 128)

Journals and Lists
128
To print the Toner Cartridge Order Forms
Sample Toner Cartridge Order Form
Toner Cartridge Order Forms
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1:CLEAN ROLLER?
3:PRINT ORDER FORM?
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* PRINTING *
TONER ORDER FORM
**********************************
> TONER CARTRIDGE ORDER FORM <
**********************************
**** The toner supply in your machine is running low ****
To order a replacement Cartridge from your Authorized Dealer
by Phone:
by Fax:
Thank you for your order.
Customer Name and Address
==========================
Ship to: ______________________________ Bill to:________________________________
______________________________________ ________________________________________
______________________________________ ________________________________________
Attention:_____________________________ Attention:______________________________
Phone No.:_____________________________ Phone No.:______________________________
Customer ID:___________________________ P.O. No.(if required):__________________
Toner Cartridge: UG-3350 Serial No.:
/ /
______________________________________ ________________________________________
Print your name and title Signature & Date
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