Mobile Requests | Platinum Copiers

Supply Request

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First Name*

Last Name*

Position

Company Name*

Phone Number*

Email Address*

Equipment ID*

Full Ship-To Address:*

Supplies Needed*

Black

Yellow

Magenta

Cyan

Waste Toner Collector (Chargeable)

Quantity

Current Toner Percentage on Display

Service Calls

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Company

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First Name*

Last Name*

Company Name*

Phone Number*

Email Address*

Equipment ID*

Hours of Operation

Problem Description : Please include any trouble codes

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General Inquiries

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Comments

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First Name*

Last Name*

Company Name*

Phone Number*

Email Address*

Reason for inquiry*

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Request A Quote

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Company Name*

Phone Number*

Your Name*

Email Address*

Zip Code*

What industry is your business in?*

What is your current make/model? (be specific)*

Do you need to print in color?

Yes

No, but I need to scan in color

Speed? (PPM = pages per minute)

20-30ppm

30-40ppm

40-50ppm

50-60ppm

60+ ppm

How many paper trays do you need?

2 x 550 sheet

3 x 550 sheet

4 x 550 sheet

Tandem Trays (2,100 sheets of letter/A4 and 2 x 550 sheet)

Finishing Options

Center Exit with offset sorting, no stapling

Internal Stapling Finisher

External Stapling Finisher

Saddle Stitch Finisher

Hole Punch? (finisher required)

Yes

In-line folding? (1/2 fold, z fold, c fold)

Yes

I'm not sure, tell me more

Fax?*

Yes

Yes, with a designated catch tray

Yes, but I'm interested in a digital fax service

Do you print on 11 x 17 sized paper?

Yes

Do you have Apple computers in your office?

Yes

Purchasing and Leasing Options

Cash Price

Lease to Own ($1 Buyout)

Lease to Renew (Fair Market Value)

Check as many as you'd like

What is your approximate monthly printing volume?

Less than 5,000

5,000 - 10,000

10,000 - 25,000

25,000 - 50,000

Over 50,000

What is your biggest headache with your current equipment or vendor?

Meter Reading

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First Name*

Last Name*

Company Name*

Phone Number*

Email Address*

Equipment ID*

Black/White print total count

Color Print Total Count

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