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Machine Brand —Please choose an option—BrotherCanonDellFujitsuHPFujitsuKonicaKyoceraLanierLexmarkMinoltaOKIRicohSavinSharpXeroxother
Model Number
Equipment ID/Serial Number
Cartridge Number
Quantity
P.O. Number
Number of units purchased per month
Shipping Methods GroundOvernightTwo Day