Do you currently have a scanner, or other input device [required]
No - We do not currently have an input device
Yes - We have a typical office scanner
Yes - We have a network compatible copier/scanner
Yes - We have a high speed document scanner
Other please specify:

What is your estimated budget for each scanner (s) purchase or lease?
$500 - $1,000
$2,000 - $4,000
$5,000 - $7,000
$8,000 - $10,000
$11,000 - $15,000
$15,000 +
Not Sure

Note: This question is intended to guide us to recommend the appropriate scanner based on your stated needs and budget.

Would you also like information on leasing options? [required]
Yes
No

When would you like to have your scanner(s) delivered? [required]
ASAP
In two weeks
In one month
Other (please be specific):

How would you best classify your business or organization? [required]
Small to midsize business (1-500 employees)
Large business (500+ employees)
Government agency (Federal, State or Local)
Educational institution (Public or Private)
Nonprofit organization
Other (please specify):

What is the five digit ZIP code for your office location? [required]
We only sell and serve Maryland Companies

What is your e-mail address? [required]

Would you like to review service contract information?
Yes
No

Please describe any additional requirements you may have, relating to your interest in this type of system.
Note: There is a 1,000 character limit for this answer.

Please Note We Only Service The State Of Maryland

Your Name [required]
Company Name [required]
Phone x [required]

We do not share or sell any information
you provide on this form
Please contact us with any privacy concerns