Printer Quote Form

1
Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Note: Your account will not be charged until the quote is accepted and item has been purchased and received. All purchases $500 and over will require a Purchase Order listing Information Technology as the vendor. Our vendor number is 180579.
4
Which account number should be charged? (Do not include the dash as this will cause an error in the form.)* This field is required.
5
Printer Type* This field is required.
Color
Black and White
6
Printer Version* This field is required.
Inkjet
Laser
7
Functionality* This field is required.
Multi-Function (Print/copy/scan)
Print only
8
Printer Sharing* This field is required.
Shared (Multiple Users)
Stand Alone (One User)
9
Other Special Features
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: