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CONTACT INFORMATION
Company Name (if applicable)
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EQUIPMENT INFORMATION
Do you have existing equipment?
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if so, please provide the make and model
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Was your equipment purchased new?
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If yes, approximately when was it purchased?
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LEASE AND SERVICE AGREEMENT INFORMATION
Existing Lease?
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Existing Service Agreement?
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If so, can you provide montly, quarterly or Annually usage or billing info?
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Being replaced or added to?
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Options desired such as ledger size (11x17), color, fax, extra paper trays, stapling, hole punching, folding?
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