Supply Order Form
Dear Customer,
please provide us accurate information so that our service representative can assist you promptly. Thank you for your business
Company Name (*)
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Contact Person (*)
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Phone (*)
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Fax (*)
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Email
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Ship To Address (*)
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 UPS - residential or commercial?
Equipment ID (*)
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Make / Model
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Meter B&W (*)
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Meter -Color (*)
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 If No Color Meter - Enter 0
Scan File Attachement
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 You can optionally scan your meter print-out and upload here.
Comments
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 Comment/Detail of your needs.
Toner Quantity - Black (K)
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Toner Quantiy - Cyan (C)
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Toner Quantity - Yellow (Y)
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Toner Quantity - Magenta (M)
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Staple Quantity - 3 Cartridge/Box
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Waste Toner Bottle (*)
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 When order toner, please check the waste toner bottle to see if you may need another
Shipping Method
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Do you need order confirmation? (*)
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Anti Spam - Not Case Sensitive
Refresh
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 Not Case Sensitive
  
Please Note.
All Deliver via UPS/Quick Silver Are Billable To Your Account. UPS Delivery can take 1-2 Business day.
Order Confirmation Will Be Sent To Your Email automatically, a following up call may be followed. thank you.