Name *
Company *
Work Phone Number
Email Address *
Work Address
City
State
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Country
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AFGHANISTAN
ALAND ISLANDS
ALBANIA
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WESTERN SAHARA
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ZIMBABWE
Preferred Contact Method *
Phone
Email
Are you looking to upgrade your current device?
Yes
No
If so, what device(s)?
Do you currently own or lease your copier? *
Own
Lease
N/A (You do not currently have a device)
Please select the type(s) of machine(s) you are interested in: *
Multifunction Machine
B/W Copier
Color Copier
Fax Machine
B/W Laser Printer
Color Laser Printer
Other
How many machines are you looking for? *
1-2
3-5
6+
What speed of machine are you looking for? *
15-20 pages per minute
21-30 pages per minute
31-45 pages per minute
46+ pages per minute
What is your projected monthly copy volume? *
Low Volume (Less than 3000 copies/month)
Medium Volume (3000 - 10000 copies/month)
High Volume (10000 - 30000 copies/month)
Very High Volume (30000+ copies/month)
Not Sure
What paper sizes do you require? (please check all that apply) *
8 1/2" x 11" (Letter)
8 1/2" x 14" (Legal)
11" x 17" (Tabloid)
All of the above
Do you use heavy paper weights? *
Yes
No
What multifunctional product functions needs do you require? *
Color
Printing
Scanning
Faxing
Emailing
Document Storage & Retrieval
No additional functions required
Not sure
When would you require delivery of machine(s)? *
ASAP
2 Weeks
1 Month
Other
Would you like information on a Maintenance Agreement? *
Yes
No
If other, please specify a time:
What purchase option do you require? *
36 month lease
48 month lease
60 month lease
Credit Card
Outright Purchase
On-Account
Is there any additional information you would like us to know to help give you the most precise quote possible?
Enter Word Verification in box below *