Company Name *

First Name *

Last Name *

Job Title *

Email address *

Phone number *

Preferred contact method Phone Email

Address *

City *

Province * Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan

Postal code *

Number of employees * 1-10 employees 10-25 employees 25-100 employees 100-500 employees 500+ employees

Product of interest * Printer / Multifunction Scanner Label printer/Maker

If you selected Print / Multifunction, approximately how many pages does your business print per month? up to 1,000 pages per month 1,000 to 2,500 pages per month 2,500 to 5,000 pages per month 5,000 to 10,000 pages per month 10,000+ pages per month

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