Dr. Toner, Inc
305 776-3308 (DIRECT LINE)
305 388-5002 (OFFICE)
305 408 3666 (FAX)
WWW.Sales@DRTONERINC.COM
P.O. BOX 166382
MIAMI, FL. 33116-6382
FROM:
Company:
Attn::
Address::
City: State: Zip:
SHIP TO:
Company:
Attn::
Address::
City: State: Zip:
DATE
P.O. NUMBER
SALESPERSON
SHIPPED VIA
DELIVERY BY
TERMS
QUANTITY
MACHINE MAKE, MODEL & TYPE
YIELD
O.E.M. PART #
UNIT PRICE
TOTAL
Comments or special instructions:
SUBTOTAL
SALES TAX
SHIPPING & HANDLING
TOTAL DUE
I request and authorize Dr. Toner, Inc. to order and/or deliver the above listed items within 5 business days from below date.
Name:
Company: 
Date:
Date: Remit all payments to Dr. Toner, Inc.
Your business is greatly appreciated!
Phone Number: 305-776-3308
e-mail: DRTONERINC@MSN.COM
* All manufacturer brand names and logos referred to are registered trademarks of their respective owners. Any use of a brand name or model designation for a non-oem cartridges is made solely for purposes of demonstrating compatibility.
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Order by Phone: 305-776-3308
