Customer Name:* Customer Contact Name:* Customer Contact Email* Applied Sales Rep:* What Solution Do You Need Quoted?*PaperCut MFRicoh StreamlineNXRicoh Smart Integration (RSI)Canon UniFLOWPrinterLogicCloud Fax (Biscom or XM Fax)ScanSharePaperCut Hive (Cloud)How Many Total Users In The Environment?* Device Manufacturer In The Environment:* Ricoh Canon Toshiba Samsung HP Xerox Kyocera Other How Many Ricoh Devices?*How Many Canon Devices?*How Many Toshiba Devices?*How Many Samsung Devices?*How Many HP Devices?*How Many Xerox Devices?*How Many Other Devices?*How Many Fax Numbers?*How Many Years Of Support?*1 Year2 Years3 Years4 Years5 YearsMonthly Fax Volume*How many faxes are sent and received per month?Does the customer want to print faxes to the MFP?* Yes No Does the customer have an existing workflow solution?* Papercut MF Ricoh RSI Ricoh StreamlineNX Canon UniFlow No Existing Workflow Should Quote Include Card Readers?* Yes No Customer Environment/Needs:*Please provide a brief description of the customer's environment and what their needs are for a solution.
