Company Name__________________________
Billing Address___________________________
City/State/Zip___________________________
Shipping Address_________________________
City/State/Zip___________________________
Phone__________________________________
Contact_________________________________
Email Address____________________________
Equipment(Make/Model)___________________
Service Call: Please list below the problem that you are having with your machine. Also give a contact name and number that we may call if we have any questions.
_______________________________________
_______________________________________
Supplies: Please list below what you need to order. All orders are shipped UPS unless otherwise requested.
_______________________________________
_______________________________________
Meter Reading: Please list below the current meter reading for your machine. If you have more than one machine, list the model and location.
_______________________________________
_______________________________________
Sales:
Copiers
Network Printers
Faxes
I would like a free demonstration
I would like a free cost analysis
I would like to up-grade
* Please print out and fax to: (901) 382-5253
Hours of Operation: Monday
- Friday : 8:00 am - 5:00 pm
Saturday: CLOSED
Sunday: CLOSED
American
Photocopy of Memphis
Call us today! Sales: (901) 377.COPY (2679)
Faxes: (901) 382-5253 • Service: (901) 382-5028
