Your Name:

Your Email Address:

Your Contact Number:

Your Organisation / Company Name:

Where abouts are you based?:

What type of system do you require?
 Colour Machine Black and White Machine Both

What type of machine do you require?
 Desktop Machine Free Standing Machine Whatever best suits my specification

How do you wish to pay for your machine?
 Outright Purchase Via a Lease * Subject to status Please provide both options

What paper sizes do you require?
 A5 A4 A3

Please select what services you require from your machine...
 Print Copy Scan Fax Booklet Maker Staple Finisher Hold Punch Finisher

How many paper trays do you require?
 1 Tray 2 Trays 3 Trays

How many machines do you require? (If you require multiple machines, please specify below...)

Any other requirements?