imagistics 1630 Operating Manual page 149

SUPPLY ORDERING
To order a replacement Cartridge by phone, call 1-800-462-6797
Ship to: ____________________________
____________________________
____________________________
Attention: __________________________
Phone No: __________________________
Customer Account No: ________________
Facsimile Model No: _________________
IMAGISTICS INTERNATIONAL INC.
Imaging Cartridge Order Form
Customer Name and Address
Quantity Required
Bill to: _______________________________
______________________________
______________________________
Attention: ____________________________
Phone No: ____________________________
P.O. No (if required): ___________________
Serial No: ____________________________
S U P P L Y O R D E R I N G H - 1