Do you need to make Color Copies?

 No, Black and White only Yes, mainly Color Copies Both Color and Black and White Copies Not Sure

How many copiers are you looking to purchase or lease?

 1 2 3 4

What is your estimated copy volume ?

 Not Sure 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.)

How Fast does the Copier need to be?

 Not Sure Low speed (10-15 color copies/min.) Medium speed (15-20 color copies/min.) High speed (20-30 color copies/min.) Very high speed (30+ color copies/min.)

What features are you interested in?
(Please check all that apply)

 No additional functions Color Printing Color Scanning Color Faxing Document Imaging Not Sure please provide information

What is your estimated budget per copier?

 $3,000 - 4,999 $5,000 - 9,999 $10,000 - 14,999 $15,000 - 19,999 $20,000 - 29,999 $30,000+

How soon do you need a copier?

 ASAP In two weeks In one month Other (Please specify)

Are you interested in leasing?

 Yes No

Which best describes your business:

 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 (please specify)

Would you like to review a service contract?

 Yes No

Please describe any additional requirements you may have for this copy machines purchase.

Company Name:

Company Industry

Title/ Function

First Name

Last Name

Address

State

Phone No

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