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REQUIRED

Name


E-mail


Phone


Location


I am considering
Purchasing
Leasing
Renting
Not sure, please advise

Type of copier / printer
Black & White
Color
Desktop
Office
Not sure, please advise

Condition of copier / printer
Brand New
Pre-owned
Not sure, please advise

Function
Copy
Network Print
Mono Scan
Color Scan
Fax
Finisher
Not sure, please advise

Monthly usage


OPTIONAL

Company


Preferred speed


I use Ledger size (11" x 17") paper


Budget


Preferred delivery time


Additional comments or requirements



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