| Name * |
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| Email Address * |
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| Company * |
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| Address1 * |
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| Address2 |
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| City, State, Zip * |
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| Phone * |
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| Fax |
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| Type of
Industry * |
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| Number
of Employees * |
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| Type
of Copier Needed * |
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How
many copiers
do you need? * |
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How
soon do you
need the
copier(s)? * |
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| Monthly
Volume of Copies * |
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| Copier
Speed (pages per
minute) * |
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Maximum
Original
Paper
Size * |
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Automatic
Document
Feeder
Needed? * |
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Duplex
Copying
(double-sided
copying)
Needed?
* |
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| Sorting
Needed?
* |
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| Stapling
Needed?
* |
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Do
you
want
to
connect
the
copier
to
a
network
so
it
can
also
serve
as
a
printer
and/or
scanner?
* |
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Will
you
be
copying
onto
thick
card
stock?
* |
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| Other
Requirements
or
Comments |
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