Panasonic DX-600 User Manual

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1:CLEAN ROLLER?
3:PRINT ORDER FORM?

* PRINTING *
TONER ORDER FORM

**********************************
>   TONER CARTRIDGE ORDER FORM   <
**********************************

**** The toner supply in your machine is running low ****

To order a replacement Cartridge from your Authorized Dealer

by Phone:
by Fax:

Thank you for your order.

Customer Name and Address

==========================

Ship to: ______________________________

Bill to: _______________________________

______________________________________

_______________________________________

______________________________________

_______________________________________

Attention: ____________________________

Attention: _____________________________

Phone No.: ____________________________

Phone No.: _____________________________

Customer ID: __________________________

P.O. No.(if required): _________________

Toner Cartridge: UG-3350 ______________

Serial No.: ____________________________

                                                                                        /    /     

______________________________________

_______________________________________

Print your name and title

 Signature & Date           

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