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General Information:
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Product Needs:
What office machine make & model are you interested in?
What type of copier are you interested in? (Choose all that apply)	New Demo Refurbished
If you want a demo or refurbished copier, what copy volume would be acceptable? (Choose one)	Less than 50,000 copies 50,001 - 100,000 copies 100,001 - 250,000 copies More than 250,000 copies
Required copier features: (Select all that apply)	B/W only Color & Black and White Network Printing Automated Document Feeder Stapling & Finishing Scanning Faxing
Please list any other features that you require:
What is your current copy volume per month (or anticipated volume)?
Are you interested in leasing or purchasing?	Leasing Purchasing
Notes or comments: