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 Number: