How many copy machines would you like to purchase or lease? [required]
1 2 3 4+
Please describe what type of copies you need to produce: [required]
Black & white copies only Both color and black & white copies Color copies only, no black & white Not sure
What is your overall projected monthly copier volume? [required]
Low volume (Less than 3,000 copies/mo.) Medium volume (3,000-10,000 copies/mo.) High volume (10,000-30,000 copies/mo.) Very high volume (30,000+ copies/mo.) Not sure
How fast would you like your copier(s) to operate? [required]
Low speed (10-20 copies/min.) Medium speed (20-30 copies/min.) High speed (30-50 copies/min.) Very high speed (50+ copies/min.) Not Sure
Would you also like information on leasing options? [required]
Yes No
What is your estimated budget for each copier purchase or lease?
$1,000 - 2,999 $3,000 - 4,999 $5,000 - 9,999 $10,000 - 14,999 $15,000 - 19,999 $20,000 - 29,999 $30,000+
In addition to copying, what other functions would you like your machine(s) to perform? [required]
No additional functions Printing Scanning Faxing Document Imaging Not sure, please provide information
When would you like to have your copier(s) delivered? [required]
ASAP In two weeks In one month Two months or more
How would you best classify your business or organization? [required]
Small to mid-size business (1-500 employees) Large business (500+ employees) Government agency (Federal, State or Local) Educational institution (Public or Private) Non-profit organization Other
What is the five digit ZIP code for your office location? [required]
What is your e-mail address? [required]
E-mail
Would you like to review service contract information?
What paper sizes or types do you need your copy machine to handle? (please check all that apply)
Letter (8.5 x 11) Legal (8.5 x 14) Ledger (11 x 17) Tabloid (17 x 22) Cover stock Transparencies
Are you interested in any additional features for your copier? (please check all that apply)
Not sure/none Account codes Duplex copying Full-bleed printing of 11 x 17 Sorter/stapler Saddle Stitch Networking Other
Please describe any additional requirements you may have for this copy machine(s) purchase. (estimated budget, service contract requirements, etc.)
Please provide the following contact information:
First Name Last Name Title Organization Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone FAX E-mail URL
