A SERVICE OF

logo

SUPPLY ORDERING
H - 1
SUPPLY ORDERING
PITNEY BOWES OFFICE SYSTEMS
Imaging Cartridge Order Form
To order a replacement Cartridge by phone, call 1-800-462-6797
To fax your order, call 1-800-832-1869
Customer Name and Address
Ship to: _____________________________ Bill to: _______________________________
____________________________ ______________________________
____________________________ ______________________________
Attention: ___________________________ Attention: _____________________________
Phone No: ___________________________ Phone No:_____________________________
Customer Account No: ________________ P.O. No (if required): ___________________
Facsimile Model No: __________________ Serial No: _____________________________
Quantity Required