I am looking for a *

Copier Lease Request

Short Term Rental Request

Maintenance Contract

Remote Computer / Copier / Printer Support

Quantity: *

Rental Term: How long are you going to use the machine? *

Function: Is it a printer only or an MFP (print/copy/scan)? *

Copiers
Printers
Scanner
Plotter

I am interested in *

Copiers
Printers

How many copiers are you interested in? *

Just 1
2 or more

Color interest *

Black and White
Both
Not sure

Model: Do you prefer desktop or floor standing? *

Desktop
Floor Standing

Paper Size: *

Letter (8.5 x 11)
Legal (8.5 x 14)
Ledger ( 11 x 17 )
Cover stock

Feature: *

Finisher
Auto Doc Feeder
Fax
Other

Toner Allowance: Average Monthly Print/Copy Volume? *

Delivery Date: *

Pick-up Date: *

Need network setup? *

Yes
No

Need IT tech support? *

Yes
No

Computer OS: *

Windows
MacOS
Linux

Venue: *

Copy Speed *

Average Monthly Volume *

What types of paper do you need your copier to handle? *

Purchasing Time Frame *

ASAP
In Two Weeks
In One Month
Other

Do you need Fax Capability? *

Yes
No

Additional Feature *

Monthly Lease Budget *

Additional Requirements:

Name *

First

Last

Email *

Job Title *

Phone Number *

Address *

Address Line 1

City

State

Zip Code

*Copier and Printer

We typically connect to your computer, which should be on the same network as the copier. This allows us to access the copier's Web Interface for more effective troubleshooting and to adjust any settings that may require modification or configuration.

*Computer

We will explore various troubleshooting steps, and if the issue is related to the network, we may discuss it over the phone without remote access until we resolve the problem.

Machine Capability

Please confirm if your copier can still copy or print standalone (e.g., without any computer or network connection) to ensure we address your issue effectively. Complete this questionnaire to the best of your ability, and we will get back to you promptly to schedule remote support. Thank you for choosing our services, and we look forward to assisting you.

Company Name *

Company Address *

Machine Brand & Model? *

Is this a color or monochrome device?

Has this device been on a maintenance agreement before or is currently active? If yes, what is the name of the service company, how long has it been active, and when is the expiration or renewal date?

When was the last time it was serviced? What were the issues resolved?

Are there any existing issues currently with the machine? Error codes, jamming issues, print quality, etc?

What is your Average Monthly Volume (AMV) in printing/copying in B/W and color?

Does your machine have any accessories attached such as a stapler finisher, hole punch, or booklet maker?

Are your computers in the office Windows PC’s or Apple/MAC?

Are you interested in automatic supplies replenishment via tracking software installation or interested to submit manual supplies requests and manual monthly meter readings?

Please upload a copy of your machine configuration page that shows the model number, serial number, and total meter reading count for the device for assessment and custom pricing.

Click or drag files to this area to upload. You can upload up to 4 files.

Contact Person *

First

Last

Email *

Phone Number

Preferred Contact Method *

Email
Phone

Copier/Printer/Computer Make/Model *

If this is solely a computer issue, please input your Operating System, e.g., Windows 10.

Serial Number (if available)

Brief Description of the Issue *

Any Error Codes Displayed *

Have you attempted any troubleshooting steps on your own? *

Yes
No

If Yes, Kindly describe troubleshooting made.

Do you have a preferred date and time for our technician to provide remote support? *

Date

Time

Call (866) 620-2287

Contract Pre-termination