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About Us
*required information
*
Company Name
*
Contact
*
Phone
*
Email
Company Size
1 to 25
26 to 99
100+
Industry Type
Agriculture
Architecture/Real Estate
Banking/Finance/Insurance
Communications
Entertainment/Lodging
Health Care
Education
Government
Non-Profit
Other
Copier Specifications:
please check all boxes that apply
What type of documents will you need to produce?
Black & White
B&W w/ Spot Color
B&W w/ Full Color
What types of media will you be using?
8-½" x 11"
8-½" x 14"
11" x 17"
Letterhead
Card Stock
Tab Paper
Other
What is your anticipated monthly output volume?
1 to 999 pages
1000 to 4,999 pages
5000 to 9,999 pages
10,000+ pages
What percent of output will be in color?
None
< 20%
21% to 40%
41% to 60%
61% to 80%
81% to 100%
Do you want to connect the machine to your network for:
Printing
Scanning
Faxing
Do you require special finishing for the document output?
Stapling
Hole Punch
Sheet Insertion
Saddle-Stitch
Is this acquisition to replace an existing machine?
Make and Model
Monthly Lease Payment
Is the current equipment under a service contract?
Monthly Volume
1 to 999 pages
999 to 4,999 pages
5.000 to 9,999 pages
10,000 + pages
Monthly Cost
Anticipated budget for new machine:
Outright Purchase Price
Monthly Lease Payment
Additional Requirements/Comments:
415-656-2400 x227
200 valley drive | suite 12 | brisbane, ca 94005
