Company or Business Name
Contact Person
Contact Phone Number
Contact e-mail
Copiers
1.	Make	Model
2.	Make	Model
3.	Make	Model
Facsimiles
1.	Make	Model
2.	Make	Model
3.	Make	Model
Printers
1.	Make	Model
2.	Make	Model
3.	Make	Model

Optional Questions:

Who are you currently purchasing your equipment supplies from?

Staples
W.B. Mason
Copier Vendor
Department or Superstore
Office Max
Office Depot
Other

What is the approximate monthly volume of your current copy machine?

Less than 1000 copies
1001-3000
3001-5000
5001-7500
7501-10,000
More than 10,001

Please add any additional comments or questions in the box below: