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Submit a Service Request
Winner will be notified on Tuesday, July 1, 2008.
* Company Name:
* Your Name:
* Title:
* Telephone:
* Email:
* Company Address:
* City:
* State:
* Zip Code:
* Current Supplier:
(Select One)
Xerox
Canon
Copystar
Gestetner
HP
Imagistics
Konica-Minolta
Kyocera
Lexmark
Muratec
Oce
Panasonic
Ricoh
Riso
Samsung
Savin
Sharp
Toshiba
Other
If other,
Approximate current lease term expiration
B&W Page Volume
0
1-3,000
3,001-6,000
6,001-9,999
10,000+
Color Page Volume
0
1-3,000
3,001-6,000
6,001-9,999
10,000+
Where do you currently purchase your supplies (paper & toner)?
How much is your current maintenance contract?
per copy
per month
per quarter
per year
How often do you purchase supplies?
1x per month
every 2 months
2x per year
1x per year
other
* Dealer Sales Representative:
Questions/
Comments: