Name Company Email Installation Zip Title Phone Email Opt In Yes No Purchase Date Today Within 3 Days This Week Next Week Within 30 Days Within 6 Months Other Payoff Funds Needed? Show As Option Machine Type COLOR Copier/MFP B&W Copier/MFP Printer Scanner Fax Required Functions Copy Print Scan Fax Select Output Speed Up to 20 Pages Per Minute 25 Pages Per Miniute 30 Pages Per Minute 35 Pages Per Minute 40 Pages Per Minute 50 Pages Per Minute 60 Pages Per Minute 80 Pages Per Minute Select Monthly Volume 2,000 Pages Per Month 3,000 Pages Per Month 5,000 Pages Per Month 7,500 Pages Per Month 10,000 Pages Per Month 12,500 Pages Per Month 15,000 Pages Per Month 20,000 Pages Per Month 25,000 Pages Per Month 50,000 Pages Per Month Minimum Paper Supply 250 Sheets 500 Sheets 1,000 Sheets 2,000 Sheets 4,000 Sheets 8,000 Sheets Show As OPTION Finisher/Sorter Type None Simple Finisher (Single Position Stapler 25 Page Sheets/1K Capacity) Full Function Finisher (50 Page Stapling/3K Capacity) Show As OPTION 2/3 Hole Punch None Standard Option 7 Bin Mailbox None Standard Option Booklet Folder None Standard Option Document Management None Basic Electronic File Cabinet Full Document Management Suite Advanced WorkFlow Document Management SharePoint Integration Enterprise Content Management Show As OPTION Intelligent Capture None Basic Advanced Show As OPTION Lease OR Purchase 60 Month Lease 48 Month Lease 36 Month Lease Outright Purchase Credit Card Comments/Questions: