Name:*

Company name:

Email:*

Phone:*

Preferred callback date:

Preferred printer brand: OKI HP Canon Lexmark No Preference

Number of sheets printed per week: (Approx)

How many computers will you be printing from? (Approx)

Do you need colour or mono (Black only)? Colour Mono

Do you need photocopy and scan functionality? Yes No

Do you require your new printer to be wireless? Yes No

Are you replacing a printer? If yes, please enter the model no.

Do you already have a printer in mind? If so, please enter the model no.

Any other details: