REQUEST FOR COPY/PRINT DEVICE
Please complete and submit this form.
What do you need to purchase (printer, copier, fax, scanner, MFD)?
Is your request for a device replacing an existing machine?
If yes, what is the existing device (make/model#)?
If yes, is the device still in working order?
Purchase or Rental?
What is/will be the number of users on the current/proposed device?
What is the monthly page count usage on your current machine?
If you are unsure of the page count how many reams of paper do you use per month? (ream = 500pgs)
Are you expecting this monthly page count to remain the same?
Will this connect to the network or to a desktop?
What functionality do you require on the new device?
Duplex capability (saves on paper usage)
When would you like this delivered?
Do you want the Printer monitored for toner levels, required maintenance and page counts? (Must be a networked printer)
Please provide the location for the new device:
Street Address Line 2
State / Province
Postal / Zip Code
Should be Empty:
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