Mail
empty cartridge(s) w/ this completed form to:
LaserSmith
6838 Caine Road
Columbus, Ohio, USA 43235
| SHIP TO: Contact
Name:_________________________ Company Name:_________________________ Address:______________________________ City/State/Zip:_______________________ Country:______________________________ FAX:__________________________________ Telephone:____________________________ |
BILL TO: Contact
Name:_________________________ Company Name:_________________________ Address:______________________________ City/State/Zip:_______________________ Country:______________________________ Purchase Order #:_____________________ E-Mail:_______________________________ |
| Product Description | Quantity |
| Example: EP-S (95A) Recycled Cartridge | 2 |
| Signature:_____________________________ | Date:______________________ |
| Special
Instructions:_________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ |
|
We will call you to confirm your order and to process this order using VISA, Discover, or American Express.
Questions? Comments? Send mail to mailman@morelaser.com
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