USER INFORMATION

*First Name:
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Title
*Company
Company Size:	N/A 1-9 10-50 50-100 100-500 500+
Industry Type:
*Address
*City, State and Zip:
*Phone Number	()
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REQUEST FOR QUOTE
Number of copiers you would like to purchase:	1 2 3 4 5 Over 5
Anticipated number of copies made per month:	Less than 1500 1500-5000 5000-10000 10000-20000 20000-30000 30000-50000 50000-100000 Over 100000
Are you intrerested in leasing options?	Yes No
Click here, To find out about the benefits of leasing
Are you interested in Color or B&W only copiers?	N/A B&W only Copiers Color Copiers
Desired copier speed in copies per minute:	10-15ppm 15-25ppm 25-45ppm 45-65ppm
Buyer's budget for this purchase:	Less than $1,500 $1,500-$3,000 $3,000-$5,000 $5,000-$8,000 $8,000-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$30,000 Over $50,000
Additional multifunction options desired:	Printer Scanner Fax Finisher/Stapler Punch Hole Booklet Making Z-Folding
Expected delivery date for this purchase:	(ex. DD/MM/YYYY)
Paper sizes:	Letter Legal Ledger
Desired paper types that will be used:	Standard Recycled Glossy Cardstock Transparencies Photo
Other desired features:	Account Codes Coin/Card Operation Wi-Fi Wireless Bluetooth Wireless PostScript Other
If Other please Specify
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