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NY State Pricing
Xerox Phaser Printers
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Document Assessment
Why Xerox
Department Information:
Department:
Requestor:
Email:
Phone:
Address:
Date:
Type of Funds:
Est Amt $:
Copy Program Request:
Service Type:
Purchase
Cost per Copy
Lease
36 mo.
48 mo.
60 mo.
Expected Copy Volume/Year:
Peak Copy Volume/Month:
Trade-in Information:
Trade-in?:
Yes
No
Manufacturer:
Copy Volume to Date:
Model:
New Model Specifications:
Desired Features:
3 Hole Punch
Digital
Reduction/Enlargement
Automatic Document Feeder
Bypass Feeder
Finisher
Stacker
Additional Paper Cassettes
Stapler
Color Copying
Book Copying
Auto-Duplexing
Auditron
Networking
Scanner
Fax Board
Copies per Minute:
Brands Desired:
Additional Comments:
