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**** The toner supply in your machine is running low **** (1)
To order a replacement Cartridge from your Authorized Dealer
Ship to:
Attention:
Phone No.:
Customer ID: ABC COMPANY (5)
Toner Cartridge No.:
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.
*************************************
>
TONER CARTRIDGE ORDER FORM
*************************************
Toshiba Corp.
1 201 111 5555 (3)
by Phone:
by Fax:
1 201 111 4444 (4)
Thank you for your order.
Customer Name and Address
=========================
(6)
Quantity Required:
(2)
Bill to:
Attention:
Phone No.:
P.O. No.(if required):
Serial No.:
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)
Refer to the Supply list
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