| How many copier (s)
would you like to purchase or lease |
|
|
| Copier brand your
interested in |
|
| Type
of copies you need to produce |
|
| Paper or sizes (Check all that apply) |
|
| Projected monthly
copier volume |
|
| Copier Speed |
|
| Would
you also like information on leasing options |
Yes
No |
| If Yes, what lease term |
|
| Estimated budget for
each copier purchase or lease |
|
| Other functions
(Check all that apply) |
|
| Other Options (Check all that apply) |
Not Sure or Non
Sorter/Stapler
Full-bleed printing of 11 x 17
Duplex Copying
Account Codes
Transparency interleaving
Other |
| When
would you like to have your copier(s) delivered |
|
| Would you like to
review service contract information |
Yes
No |
|
Classify your business |
|
|
CONTACT INFORMATION:
|
Please note that this information is only collected to be provided to our
vendors so that they may submit their quote to you. |
| Company
Name |
{required}
|
| Contact Person's Name |
{required}
|
| Email Address |
{required}
|
| Telephone |
|
| Address |
|
| City |
{required}
|
| State |
{required}
|
| Zip code |
|
| Security Code* |
Type 5037
{required}
|
|
|