Please fill out as much of the following information as possible, as it will help
our sales team determine which Ricoh solution is the best suited to your needs.

Name: *  
Business:  
Phone Number: *  
E-mail Address: *  
Address:  
Address:  
City:  
Province:  
Postal Code:  
What type of machine do you need: *   Printer Fax Copier Scanner
Average number of B&W prints per month:  
Average number of colour prints per month (if applicable):  
Do you currently own a machine? If so, what is the make and model?  
Are there any improvements you'd like to see on your new system?  
Amount of your last service bill (if applicable):  
Average number of pages printed per job?  
Largest number of pages printed per job?  
What size(s) of paper will you be printing on?   8.5 x 11 (Standard Letter)
8.5 x 14 (Legal)
11 x 17
Other
What type(s) of paper will you be printing on?   Plain/Recycled (Bond)
Cardstock (Heavy)
Glossy/Special
Other
What type of business is yours?  
What is your purpose for printing?   Internal printing only
Published to an external market
Both
How many computers do you have at your location?  
Are there any common computers at your location that need individual users' activity tracked? Yes    No
How many people do you employ at your office?  
Do you have a network in place?   Yes    No
If so, is there an IT professional that maintains your network?   Yes    No
May we have his/her name so as to include him/her in any network or security decisions?  
 
* Required