A DCC Customer Service Engineer Will Contact You To Review Your Form Within 1-2 Business Days
Client Contact Information
Customer Industry: Please Choose Commercial Education (K-16) Government (SLG, GSA) Legal Health care/Insurance Print for pay Other
Please describe your role/ responsibility in buying decisions? Please Choose Primary decision maker Coordinator (gather information/make recommendations) Influencer (provide input based upon experience or knowledge)
Is this information for: Please Choose An immediate decision A future purchase Research on product
To start, select the product you are interested in: Please Select Fax Machines B/W Copiers Color Copiers B/W Printers Color Printers
Total number of copiers in your organization? Please Choose 1 2-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-50 51-100 101+
Make Of Copier
Model Number of Copier
What kind of tasks would you like this machine to perform?
Printer Capable: Would you like to use your copier as a network printer? Please Choose Not Sure Yes No
Fax Capable: Do you want to fax documents directly from your copier? Please Choose Not Sure Yes No
Scan Capable: Do you want to Scan documents directly from your copier? Please Choose Not Sure Yes No
How fast would you like your copier to be?
Copy/print speed needed? Please Choose 0 - 19 Pages Per Minute 20 - 29 Pages Per Minute 30 - 44 Pages Per Minute 45 -69 Pages Per Minute 70 - 90 Pages Per Minute 91+ Pages Per Minute
How many copies/prints will you do each month?
Estimated monthly copy volume Please Choose 1-3,000 Copies Per Month 3,001- 6,000 Copies Per Month 6,001- 10,000 Copies Per Month 10,001- 15,000 Copies Per Month 15,000 - 20,000 Copies Per Month 20,000 - 25,000 Copies Per Month 25,000 - 30,000 Copies Per Month 30,000 - 40,000 Copies Per Month 40,000 - 50,000 Copies Per Month 50,000 - 60,000 Copies Per Month More than 60,000 copies per month
Estimated monthly print volume Please Choose 1-3,000 Copies Per Month 3,001- 6,000 Copies Per Month 6,001- 10,000 Copies Per Month 10,001- 15,000 Copies Per Month 15,000 - 20,000 Copies Per Month 20,000 - 25,000 Copies Per Month 25,000 - 30,000 Copies Per Month 30,000 - 40,000 Copies Per Month 40,000 - 50,000 Copies Per Month 50,000 - 60,000 Copies Per Month More than 60,000 copies per month
Typical Document Content
Key Documents/Applications:*Tell us about documents and finishing needs
Duplexing
Do you require Duplexing? (Make two sided copies) Please Choose Yes No
Largest paper size to be duplexed? Please Choose 8x11 8x14 11x17
No. of duplexed sets you like to make at a time? Please Choose 1-10 10-20 20-30 30-40 40-50 More then 50
Sorting/Collating/Finishing
Do you need Trimming Please Choose Yes No
Paper Sizes/Capacities
How much paper capacity is needed? Please Choose 500 Sheets 750 - 1,000 1,000 -1,500 2,000 - 3,000 3,000+
How many different paper sizes do you use? Please Choose All 8x11 8x11 and 8x14 8x11, 8x14 and 11x17
No. of sheets bypass tray to hold? Less Then 50 Pages More Then 50 Pages
Do you need to copy on to heavier paper weights or special stock? Please Choose Yes No If yes; Please specify:
Special Needs:
Confidential mail box for secure printing Please Choose Yes No
Multi-Bin Mail Boxes Please Choose Not Sure Yes No
Are most of your originals created on your PC or Mac? Please Choose PC Mac
How many pages do you want your document feeder to hold? 1-50 50 - 75 75 - 100 More Then 100
Do you need to track, monitor or restrict usage of your copier/printer for cost recovery? Please Choose Yes No
Number of tracking codes needed?
Additional Comments: Please tell us about any special needs or problems you have with your current system
Application Software Used
Please list additional software information used within your company.
Workstation Information
Which desktop (client) computing environments will be used for printing to the digital copier/printer?
Other; Please specify:
Which network protocols need to be supported?
Network Information
Which network operating systems are being used within your organization? (Please select only those systems that apply to this installation and NOT ALL the operating systems that are in use)
Network Topology/Cabling
How many employees will share this new device?
Additional Comments:
