Information and Quote Request

Phoenix Business Machines has been family owned and operated for over 20 years and is experienced in all aspects of document management and production. Please feel free to call us at 714-524-2679 or fill out the form below for more information on how we can work together to improve your business! We promise to respect the information you provide us and will not release it to third parties..

Information and Quote Request Form:

Customer Information:

First Name

Last Name

Telephone

Company

Address

City, State, Zip Code

Optional Info:

1.	What type of system are you interested in?
	Color Copier B&W Copier Standalone Printer Not sure

2.	What is the maximum paper size and type of paper type the system must handle?
	Letter 8.5 X 11 Legal 8.5 X 14 Ledger 11 X 17 Cover Stock Transparencies

3.	What will be your estimated monthly average volume?
	Less than 2,000 2,000 −5,000 5,000 −10,000 10,000 − 20,000 20,000 − 30,000 40,000 − 60,000 60,000 − 80,000 Over 80,000

4.	What is the speed requirement for your system?
	20 ppm 28 ppm − 33 ppm 40 ppm − 50 ppm 60 ppm − 90 ppm 110 ppm − 135 ppm

5.	How do you plan on acquiring the system?
	Purchase Lease 36 months Lease 48 months Lease 60 months Rental

6.	Would you like a service contract with the equipment proposal?
	Yes No

7.	Estimated budget for the system?
	Less than $ 999.00 $ 1,000 to $ 2,999 $ 3,000 to $ 4,999 $ 5,000 to $ 9,999 $ 15,000 to $ 19,999 $ 20,000 to $ 29,000 $ 30,000 or more

8.	Additional functions you would like to add
	No additional functions Faxing Scanning Enhanced Document Scanning Solutions Printing Coin Op/Card Reader System Usage tracking / billing System Not sure

9.	When would you like your system to be delivered?
	ASAP In 1 week In 2 weeks In 1 month Other (please specify______)

10.	What is your type of business?
	Small to medium sized business Large business (over 500 employees) Government agency Educational Non-Profit

11.	Please add any additional requirements or comments you have!