578
DP-C405/C305/C265
FEB 2008Ver. 1.1
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.
*************************************
> Supply Order Form <
*************************************
**** The supplies in your machine are running low ****
(1)
To order replacement Supplies
Please contact or fax this form to your authorized dealer
Panasonic
(2)
by Phone: 123456789012345678901234567890123456
(3)
by Fax: 012345678901234567890123456789012345
(4)
Thank you for your order.
Customer Information
=========================
Ship To: Bill To:
Attention:
Phone No.:
Attention:
Phone No.:
Customer ID: ABC COMPANY
(5)
(6)
P.O. No.(if required):
Serial No.: xxxxxxxxxxx
Description Order No.
Toner Cartridge (Black) : DQ-TUxxxK
Toner Cartridge (Cyan) : DQ-TUxxxC
Toner Cartridge (Magenta) : DQ-TUxxxM
Toner Cartridge (Yellow) : DQ-TUxxxY
OPC Drum Unit (Black) : DQ-UHS36K
OPC Drum Unit (Color) : DQ-UHS30
Toner Waste Container : DQ-BFN45
Quantity Required:
/ /
Print your Name and Title Signature & Date