103
UF-9000
JUN 2004
Ver. 2.0
DP-180/190
4.2.7.5. Toner Order Form
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) Toner Order Tel # Up to 36 digits
(4) Toner Order Fax # Up to 36 digits
(5) Customer ID Up to 16 characters (User Identification Code)
(6) Toner Cartridge No. Refer to the Supply list
*************************************
> TONER CARTRIDGE ORDER FORM <
*************************************
**** The toner supply in your machine is running low ****
(1)
To order a replacement Cartridge from your Authorized Dealer
Panasonic 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 No.:
(6)
Serial No.:
Quantity Required:
/ /
Print your name and title Signature & Date
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