Company Name

Name

Email Address

Phone Number

City

State

What type of equipment do you need? Select all that apply What type of equipment do you need? Select all that apply General office printer/copier/scanner Wide Format Graphic and photo production High volume Desktop printer Label and receipt printer Other

Do you have a preferred brand? Do you have a preferred brand? Brother KIP Ricoh Toshiba Xerox / Lexmark Re-Store

Are you interested in any of our other services? Are you interested in any of our other services?Yes, what else do you offer?No, not at this time.

What other service(s) are you interested in? What other service(s) are you interested in? Managed Print Services Managed IT Services Signage Promotional print services

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