L
O
A
D
I
N
G
Customer Center
Products & Solutions
About Us
Contact Us
Request a Quote
Enter a Meter Read
Customer Center
Products & Solutions
About Us
Contact Us
Request a Quote
Enter a Meter Read
Request a Quote
"
*
" indicates required fields
Company Information
Contact Name
*
Email
*
Phone
*
Preferred Method of Contact
*
Email
Phone
Either
Company Name
*
City
*
State / Region
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Equipment Information
What Make/Model Machine are you looking to upgrade?
*
If you do not currently have a machine, please say “none”.
Do you own or lease your current machine?
*
Own
Lease
N/A
If leased, what is the approximate date of your lease expiration?
0 – 6 months
6 – 12 months
12 – 24 months
24 – 36 months
36 – 48 months
48 – 60 months
I don't know
What type of equipment are you interested in?
*
Multifunction Machine (Copy/Print/Scan/Fax/Email/Apps)
Black and White Laser Printer
Color Laser Printer
Black and White Copier
Color Copier
"Specialized" Equipment
Other
Are you in need of more than 1 machine?
What Speed of machine are you looking for?
*
15 to 20 prints/copies per minute
21 to 30 prints/copies per minute
31 to 45 prints/copies per minute
46 to 70 prints/copies per minute
71+ prints/copies per minute
What is your projected monthly volume?
*
Less than 5,000 prints/copies per month
5,000 – 15,000 prints/copies per month
15,000 – 25,000 prints/copies per month
25,000 – 40,000 prints/copies per month
40,000 – 60,000 prints/copies per month
60,000 – 100,000 prints/copies per month
Over 100,000 prints/copies per month
Really Not Sure – I need an assessment!
What paper sizes do you require?
*
Letter (8.5×11) & Legal (8.5×14)
Letter, Legal, & TABLOID (11×17) or Larger
Do you use heavy weight or specialty paper?
Yes
No
What function do you consider most important?
*
Multifunction Ability
Color
Printing
Scanning
Emailing
Apps
Faxing
Document Storage & Retrieval
We will just be making copies
Not sure – need an assessment!
Would you like information on a Maintenance Agreement?
*
Yes
No
When would you require delivery?
*
ASAP
In Two Weeks
In One Month
1 to 3 Months
3 to 6 Months
Other
What purchase option do you require?
*
24 month lease
36 month lease
48 month lease
60 month lease
Credit Card
Outright Purchase
On Account
Comments
Δ
© 2025 Miller Office Equipment
