JL Equipment Solutions, Inc. Copier Fleet Management

125 East Hirst Road
Purcellville, VA  20132
888-558-3260

Photo Copier

Equipment Request Form

Location: *
Address:  
Floor/Department:  
City:     State:     Zip:  
Phone: *
Contact: *
 
Are you:
Replacing Existing Equipment New Machine
 
Is the machine:
Color B&W
 
Current Equipment:
Make:
Model:
Original Install Date:
Average Monthly Volume:
Per Copy Charges:
Owner/Leased:

Owner
Leased

 
For Additional Equipment
How many people will be using?
Approximate monthly volume?
 
Other Needs
Standard Stapler (up to 50 sheets):
Large Stapler (up to 100 sheets):
Booklet Making (fold & saddle stitch):
2/3 hole drill:
Scanning to file:

Equipment Request

Are you interested in equipment request information?

Phone: 888-558-3260 • Local: 540-338-9780 • Fax: 540-338-4423

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