Panasonic UF-580 Service Manual page 165

For Other Destinations
**** The toner supply in your facsimile machine is running low **** (1)
Ship to:
Attention:
Phone No.:
Customer ID: ABC COMPANY (5)
Toner Cartridge: UG-3350
Print your name and title
Explanation of Contents
(1) Low Toner Message (Fixed)
(2) Dealer Name
(3) Order Tel #
(4) Order Fax #
(5) Customer ID
(6) Toner Cartridge #
*************************************
> TONER CARTRIDGE ORDER FORM
*************************************
To order a replacement Cartridge from your Authorized Dealer
by Phone:
by Fax:
Thank you for your order.
Customer Name and Address
=========================
(6)
Panafax Corp. (2)
1 201 111 5555 (3)
1 201 111 4444 (4)
Bill to:
Attention:
Phone No.:
P.O. No.(if required):
Serial No.:
Quantity Required:
Signature & Date
"The toner supply in your machine is running low"
Up to 25 digits
Up to 36 digits
Up to 36 digits
Up to 16 characters (User Identification Code)
UG-3350 (For Other Destinations) for UF-580/590
165
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