NASHUA NORTH

INCLUSIVE CONSUMABLES ORDER FORM

367 Kent Avenue, Ferndale, Randburg
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Fax this order form to: 011 777-0086

or email to: nadine@nashuanorth.co.za farzana@nashuanorth.co.za stephanie@nashuanorth.co.za __________________________________________________________________________
Order Date: 29 March 2012 Company Name: Prostart Properties Contact Person: Ronald Telephone: 011 886 8930 Return Fax: 011 886 6467 Delivery Address: Shop 14, Garden Shopping Mall,170 Braam Fischer Drive, Randburg

THE FOLLOWING INFORMATION IS VERY IMPORTANT; WITHOUT IT NO CONSUMABLES CAN BE ORDERED:

Serial Number of machine: W3018711822 Current Meter/Counter reading: Black Colour:

Consumable/s required:___ Black Cartridge___________________________________________

( Order only the toner you require as no full sets will be issued )

PLEASE NOTE: ***DELIVERY TAKES 2 3 DAYS, DEPENDING ON TRUCK SCHEDULES***

As per your CSA, Nashua North reserves the right to charge for consumables that have not reached the required yield, this will be based on a pro-rata rate. *** You are only allowed one of each toner per serial number *** We are closed for stock take on the last working day of every month. Please ensure you have toner available as we cannot release or deliver any products on this day.