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TONER CARTRIDGE RETURN FORM - Empty or Defective

  1. Toner Cartridge Return Form - Empty or Defective

  2. Used or Defective - CHOOSE ONLY ONE*

  3. ** IF DEFECTIVE, one of the two above fields must be completed. PLEASE ATTACH a copy of this form to the defective cartridge.

  4. Attach a print sample to the toner box if appropriate.

  5. Leave This Blank:

  6. This field is not part of the form submission.