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1. Personal Information
Company Name:
Contact:
Phone:
Email:

2. Please describe what type of copies you need to produce:
Black & White copies only.
Both Color and Black & White copies.
Color copies only, no Black & White
Not Sure

3. Would you also like information on leasing options?
Yes
No
4. What is your estimated budget for each copier purchase or lease?
$0-$149
$150-$250
$250+
5. In addition to copying, what other functions would you like your machine(s) to perform?
No additional functions
Printing
Scanning
Faxing
Document Imaging
Not sure, please provide information

6. When would you like to have your copier(s) delivered?
Now
1-3 Months
6 Months

7. Would you like to review service contract information?
Yes
No
8. What paper sizes or types do you need your copy machine to handle?
Ledger (11 x 17)
Tabloid (17 x 22)
Specialty Papers
9. Are you interested in any additional features for your copiers?
Account codes
Double Sided
Other
10. Please describe any additional requirements you may have for this copy machine(s) purchase. (estimatede budget, service contract requirements, etc)
"Big enough to take care of all your business machine needs but still small enough to care about you and your business."


U.S. Office Solutions
Kingston, MA 02364
877-836-9951

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