Prospective Customer Inquiry Form
Are you funded for a printer this year? YES NO
Would you like to see a printer in operation? YES NO


Company:
Address:
City, State, Zip:
Contact: Position:
Phone#: Ext.:
Email:
Product: Fax#:
Computer: (Model,version,op. system, etc.)
Current Printer: (Mfg.,Model, etc.) Protocol: (Magnum, IGP, PCL.):
Who Sevices Your Current Printer?: From: (Location):
Current Interface: If network, type of connection:
Future Interface: (specify details: Network(TCP/IP,etc.)

Printers at Locations: Qty Current: Qty Future:

Your Comments Please:


*If you send us your current label, we will return a laser generated sample with our comments.