Toner Order Form - Panasonic DP-C305 Service Manual

5.2.7.5.

Toner Order Form

**** The supplies in your machine are running low ****
Please contact or fax this form to your authorized dealer
Ship To:
Attention:
Phone No.:
Customer ID: ABC COMPANY (5)
Serial No.:
Description
Toner Cartridge (Black)
Toner Cartridge (Cyan)
Toner Cartridge (Magenta)
Toner Cartridge (Yellow)
OPC Drum Unit (Black)
OPC Drum Unit (Color)
Toner Waste Container
Print your Name and Title
Explanation of Contents
(1) Low Toner Message (Fixed)
(2) Dealer Name
(3) Toner Order Tel #
(4) Toner Order Fax #
(5) Customer ID
(6) Toner Cartridge No.
Ver. 1.1
*************************************
>
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To order replacement Supplies
by Phone: 123456789012345678901234567890123456 (3)
by Fax: 012345678901234567890123456789012345 (4)
Thank you for your order.
Customer Information
=========================
xxxxxxxxxxx
Order No.
: DQ-TUxxxK
: DQ-TUxxxC
: DQ-TUxxxM
: DQ-TUxxxY
: DQ-UHS36K
: DQ-UHS30
: DQ-BFN45
Supply Order Form
Panasonic (2)
Bill To:
Attention:
Phone No.:
P.O. No.(if required):
Quantity Required:
(6)
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)
590
DP-C405/C305/C265
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FEB 2008