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
Full-bleed printing of 11 x 17
Duplex Copying
Account Codes
Transparency interleaving
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}
City   {required}
State   {required}
Zip code  
Security Code*   Type 1601 {required}

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