Request For Quote - J&S Electronic Business Systems

Company Name:(required)

Name:(required)

Email:(required)

Telephone:(required)

What Make/Model Machine are you looking to purchase?

How many machines are you looking for?

One

Two

Three or More

If three or more, please note exact quantity:

What is your projected monthly volume?

Low Volume (Less than 3,000 copies per month)

Medium Volume (3,000 - 10,000 copies per month)

High Volume (10,000 - 30,000 copies per month)

Very High Volume (30,000+ copies per month)

Not Sure

Would you like information on a Maintenance Agreement?(required)

Yes

No

When would you require delivery?(required)

ASAP

In Two Weeks

In One Month

Other

If other, please specify a time:

What purchase option do you require?

36 month lease

48 month lease

60 month lease

Credit Card

Outright Purchase

On Account

Is there any additional information you would like us to know:

Are you human?(required)