Which service below are you interested in?
*
Website Development
IT Services
Copier / Printing Solutions
Mailing Systems
Are you considering a color or a black and white copier?
*
Black and White Copier
Color Copier
Not Sure
How would you best describe your business?
*
Small to mid-size business (1-500 employees)
Large business (500+ employees)
Government agency (Federal, State, or Local)
Educational institution (Public or Private)
Non-profit organization
Other
When do you anticipate making a decision?
*
ASAP
Within Two Weeks
In the Next Month
In One Month or Longer
What is your current website address?
*
How many PC's (Computers) will QBS be supporting?
*
Please Select
1-10
11-20
21+
Not Sure
How many Servers will QBS be supporting?
*
Please Select
1-3
4+
Not sure
How many Employees do you have?
*
Please Select
1-10
11-25
26-50
51+
What's your email address?
*
What's your phone number?
*
May we have your name?
*
First Name
Last Name
Your Business Name?
*
Your Business Address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments
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